Organization Active NPI

Substance Abuse Foundatiion for Educaiton

  • Children's Substance Abuse Rehabilitation Facility
  • Oklahoma City, OK
National Provider Identifier
1801317821
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
961 Issued in OK
Legal business name
SUBSTANCE ABUSE FOUNDATIION FOR EDUCAITON
Practice address
1618 SE 59TH St
Oklahoma City, OK 73129-7314
Phone
(405) 310-0150
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Authorized official

Name
Mr. Michael Wesley Vaughn, LADC
Title
Director
Phone
(405) 310-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 961 OK Primary

Addresses

Primary practice location

1618 SE 59TH St
Oklahoma City, OK 73129-7314

Mailing address

2500 McGee Dr Ste 102
Norman, OK 73072-6705
Phone (405) 310-0150

National Provider Directory

National Provider Directory

Locations

1618 SE 59th St
Oklahoma City, OK 73129
Phone (405) 310-0150

Practitioners & affiliated clinicians

Practitioners 1

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": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1801317821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MCGEE DR STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730726705",
            "telephone_number": "405-310-0150",
            "fax_number": "405-573-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 SE 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731297314",
            "telephone_number": "405-310-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSTANCE ABUSE FOUNDATIION FOR EDUCAITON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-310-0150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "OK",
            "license": "961",
            "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 Jun 29, 2017; 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.