The Play Place, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5773 Issued in OK

Legal business name

THE PLAY PLACE, LLC

Practice address

121 S Main St
Stillwater, OK 74074-3519

Phone

(405) 564-4248

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Nikkie Jo Dunnigan, LPC

Title

Director

Phone

(405) 564-4248

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1750758694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 W 18TH CT",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746801",
            "telephone_number": "405-564-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743519",
            "telephone_number": "405-564-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLAY PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "DUNNIGAN",
        "authorized_official_first_name": "NIKKIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-564-4248",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "5773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200451940B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.