Organization Active NPI

Covenant Youth & Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
National Provider Identifier
1760508006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COVENANT YOUTH & FAMILY SERVICES
Practice address
3813 N Santa Fe Ave
Suite 131
Oklahoma City, OK 73118-8508
Phone
(405) 521-1755
Fax
(405) 521-1138
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Roseline Nsikak
Title
Ceo
Phone
(405) 623-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OK Primary

Addresses

Primary practice location

3813 N Santa Fe Ave
Suite 131
Oklahoma City, OK 73118-8508

Mailing address

3813 N Santa Fe Ave
Suite 131
Oklahoma City, OK 73118-8508
Phone (405) 521-1755

National Provider Directory

National Provider Directory
Tax ID family
Covenant Youth and Family Services2 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

3813 N Santa Fe Ave
Ste 131
Oklahoma City, OK 73118
Phone (405) 521-1755

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760508006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 N SANTA FE AVE",
            "address_2": "SUITE 131",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731188508",
            "telephone_number": "405-521-1755",
            "fax_number": "405-521-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 N SANTA FE AVE",
            "address_2": "SUITE 131",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731188508",
            "telephone_number": "405-521-1755",
            "fax_number": "405-521-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NSIKAK",
        "authorized_official_first_name": "ROSELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-623-1117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OK",
            "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 Aug 22, 2020; 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.