NPIMap

Organization Active NPI

Walnut Behavioral Therapy LLC

  • Behavior Analyst
  • Oklahoma City, OK
National Provider Identifier
1831917467
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WALNUT BEHAVIORAL THERAPY LLC
Practice address
2219 SW 74TH St Ste 109-115
Oklahoma City, OK 73159-3931
Phone
(405) 355-3239
NPI assigned
Oct 2, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Leslie Barton
Title
Credentialing Specialist
Phone
(405) 247-0285

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 50

National Provider Directory

National Provider Directory

Locations

2219 SW 74th St
Ste 109115
Oklahoma City, OK 73159
Phone (305) 355-3239

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2219 SW 74TH St Ste 109-115
Oklahoma City, OK 73159-3931

Mailing address

PO Box 12058
Oklahoma City, OK 73157-2058

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2024.

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1831917467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12058",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SW 74TH ST STE 109-115",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593931",
            "telephone_number": "405-355-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "405-247-0285"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "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 Oct 2, 2024; 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.