NPIMap

Organization Active NPI

State of Oklahoma

  • Behavior Analyst
  • Tulsa, OK
National Provider Identifier
1790922185
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
STATE OF OKLAHOMA
Practice address
2323 South Harvard
Tulsa, OK 74114
Phone
(918) 293-2140
Fax
(918) 912-7164
NPI assigned
Jan 7, 2009
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Mr. Wilfred Stephen Sampson, MSNPI 1700162724
Title
Clinical Behavioral Healthcare Spec
Phone
(918) 293-2140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2323 South Harvard
Tulsa, OK 74114

Mailing address

2323 South Harvard
Tulsa, OK 74114
Phone (918) 293-2140

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma Forensic Center140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1790922185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 SOUTH HARVARD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74114",
            "telephone_number": "918-293-2140",
            "fax_number": "918-912-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 SOUTH HARVARD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74114",
            "telephone_number": "918-293-2140",
            "fax_number": "918-912-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CLINICAL BEHAVIORAL HEALTHCARE SPEC",
        "authorized_official_telephone_number": "918-293-2140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "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 Feb 1, 2011; 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.