NPIMap

Organization Active NPI

Eastern Sky Mental Health, Inc

  • Professional Counselor
  • Wilburton, OK
National Provider Identifier
1871887703
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EASTERN SKY MENTAL HEALTH, INC
Practice address
301 E Main St
Suite 3
Wilburton, OK 74578-4415
Phone
(918) 465-0300
Fax
(918) 465-0300
NPI assigned
Jun 8, 2011
Last updated
Feb 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Dr. Alice Leona Caldwell, LBPNPI 1699917450
Title
Therapist
Phone
(918) 465-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

301 E Main St
Suite 3
Wilburton, OK 74578-4415

Mailing address

301 E Main St
Suite 3
Wilburton, OK 74578-4415
Phone (918) 465-0300

Other names 1

  • Eastern Sky, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

301 E Main St
Ste 3
Wilburton, OK 74578
Phone (918) 465-0300

Practitioners & affiliated clinicians

Practitioners 8

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": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1871887703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784415",
            "telephone_number": "918-465-0300",
            "fax_number": "918-465-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784415",
            "telephone_number": "918-465-0300",
            "fax_number": "918-465-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SKY MENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "LEONA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "918-465-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LBP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Sky, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wilburton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.