NPIMap

Organization Active NPI

Restoration Youth and Family Services

  • Community/Behavioral Health Agency
  • Yukon, OK
National Provider Identifier
1679890776
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
999720928 Issued in OK
Legal business name
RESTORATION YOUTH AND FAMILY SERVICES
Practice address
300 S Ranchwood Blvd
Suite 15-16
Yukon, OK 73099-2741
Phone
(405) 354-6010
Fax
(405) 354-6070
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathryn Poulter
Title
Managing Director
Phone
(405) 354-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 999720928 OK Primary

Addresses

Primary practice location

300 S Ranchwood Blvd
Suite 15-16
Yukon, OK 73099-2741

Mailing address

300 S Ranchwood Blvd
Suite 15-16
Yukon, OK 73099-2741
Phone (405) 354-6010

National Provider Directory

National Provider Directory

Locations

300 S Ranchwood Blvd
Ste 1516
Yukon, OK 73099
Phone (405) 354-6010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1679890776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S RANCHWOOD BLVD",
            "address_2": "SUITE 15-16",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992741",
            "telephone_number": "405-354-6010",
            "fax_number": "405-354-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S RANCHWOOD BLVD",
            "address_2": "SUITE 15-16",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730992741",
            "telephone_number": "405-354-6010",
            "fax_number": "405-354-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "POULTER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "405-354-6010"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "999720928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.