Cimarron Valley Therapeutic Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

K8600113 Issued in OK

Legal business name

CIMARRON VALLEY THERAPEUTIC SERVICES, INC.

Practice address

205 W Hartford Ave
Ponca City, OK 74601-1547

Phone

(580) 765-0076

Fax

(580) 765-0073

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Steve Gates, M.B.S., LBP

Title

Program Director

Phone

(580) 254-2886

Specialties & licenses 1

Addresses

Tax ID family

Cimarron Valley Therapeutic Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cimarron Valley Therapeutic Service, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Woodward, OK
  • NPI 1164590790
  NPD tax ID
• Cimarron Valley Therapeutic Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodward, OK
  • NPI 1821134032
  NPD tax ID

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851415673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W HARTFORD AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011547",
            "telephone_number": "580-765-0076",
            "fax_number": "580-765-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W HARTFORD AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011547",
            "telephone_number": "580-765-0076",
            "fax_number": "580-765-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIMARRON VALLEY THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "580-254-2886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.S., LBP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OK",
            "license": "K8600113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ray Chenoweth, O.D.
• Children S Therapy Zone LLC
• Chiropractic Associates
• Chiropractic Associates 300, LLC
• Choices for Life Counseling Inc.
• City of Ponca City
• Amanda Clark
• Caitlyn Clark
• Cody Wayne Clark
• Julie D Clark, PHD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• 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.