Organization Active NPI

Northcare

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1790990612
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHCARE
Practice address
1140 N Hudson Ave
Oklahoma City, OK 73103-3918
Phone
(405) 272-0660
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Mariam Melissa Reynolds, B.A.,C.M.
Title
Case Manager
Phone
(405) 272-0660

Specialties & licenses 1

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

Addresses

Primary practice location

1140 N Hudson Ave
Oklahoma City, OK 73103-3918

Mailing address

2429 SW 80TH St
Oklahoma City, OK 73159-4907
Phone (405) 623-1184

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790990612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 SW 80TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731594907",
            "telephone_number": "405-623-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N HUDSON AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033918",
            "telephone_number": "405-272-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "405-272-0660",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A.,C.M."
    },
    "taxonomies": [
        {
            "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 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.