Organization Active NPI

New Start Mhsa

  • Community/Behavioral Health Agency
  • Davis, OK
National Provider Identifier
1689032401
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW START MHSA
Practice address
115 E Main St
Davis, OK 73030-1905
Phone
(580) 514-6461
NPI assigned
Feb 8, 2016
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Amanda Brewer
Title
Administrative Director
Phone
(580) 514-6461

Specialties & licenses 1

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

Addresses

Primary practice location

115 E Main St
Davis, OK 73030-1905

Mailing address

115 E Main St
Davis, OK 73030-1905

National Provider Directory

National Provider Directory

Locations

115 E Main St
Davis, OK 73030
Phone (580) 319-7694

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1689032401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730301905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "DAVIS",
            "state": "OK",
            "postal_code": "730301905",
            "telephone_number": "580-514-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START MHSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE  DIRECTOR",
        "authorized_official_telephone_number": "580-514-6461"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.