NPIMap

Organization Active NPI

Principles of Resilience of Youth Development, LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1740548387
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRINCIPLES OF RESILIENCE OF YOUTH DEVELOPMENT, LLC
Practice address
2828 NW 57TH St
Suite 302
Oklahoma City, OK 73112-6814
Phone
(405) 840-1243
Fax
(405) 840-1211
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Mr. Clinton C. Patton Sr., M.H.R
Title
Therapist/ Ceo
Phone
(405) 840-1243

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2828 NW 57TH St
Suite 302
Oklahoma City, OK 73112-6814

Mailing address

2828 NW 57TH St
Suite 302
Oklahoma City, OK 73112-6814
Phone (405) 840-1243

National Provider Directory

National Provider Directory
Tax ID family
Hands to Guide You2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2828 NW 57th St
Ste 302
Oklahoma City, OK 73112
Phone (405) 840-1243

Practitioners & affiliated clinicians

Practitioners 12

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": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1740548387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 NW 57TH ST",
            "address_2": "SUITE 302",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126814",
            "telephone_number": "405-840-1243",
            "fax_number": "405-840-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 NW 57TH ST",
            "address_2": "SUITE 302",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126814",
            "telephone_number": "405-840-1243",
            "fax_number": "405-840-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLES OF RESILIENCE OF YOUTH DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "THERAPIST/ CEO",
        "authorized_official_telephone_number": "405-840-1243",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.H.R"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.