NPIMap

Organization Active NPI

Domestic Violence Intervention Services/ Call Rape

  • Case Management Agency
  • Tulsa, OK
National Provider Identifier
1689851982
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
7243 Issued in OK
Legal business name
DOMESTIC VIOLENCE INTERVENTION SERVICES/ CALL RAPE
Practice address
4300 S Harvard Ave
Suite 100
Tulsa, OK 74135-2619
Phone
(918) 585-3163
Fax
(918) 584-1835
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Tracey Booth, MSW, LSW
Title
Executive Director
Phone
(918) 585-3163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 7243 OK Primary

Addresses

Primary practice location

4300 S Harvard Ave
Suite 100
Tulsa, OK 74135-2619

Mailing address

1607 N Hartford Ave
Tulsa, OK 74106-4304
Phone (918) 584-7500

National Provider Directory

National Provider Directory
Tax ID family
Domestic Violence Intervention Services Call Rape3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1607 N Hartford Ave
Tulsa, OK 74106

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1689851982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 N HARTFORD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064304",
            "telephone_number": "918-584-7500",
            "fax_number": "918-585-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S HARVARD AVE",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352619",
            "telephone_number": "918-585-3163",
            "fax_number": "918-584-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMESTIC VIOLENCE INTERVENTION SERVICES/ CALL RAPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-585-3163",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "7243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.