NPIMap

Organization Active NPI

Wesleyan Youth Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Eufaula, OK
National Provider Identifier
1881872166
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
K8600030 Issued in OK
Legal business name
WESLEYAN YOUTH INC.
Practice address
One Mile West of Highway 69 on Highway 9 (South Side)
Eufaula, OK 74432
Phone
(405) 524-4457
Fax
(405) 524-5762
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Ms. Jan Sills
Title
Executive Director
Phone
(405) 524-4457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X K8600030 OK Primary

Addresses

Primary practice location

One Mile West of Highway 69 on Highway 9 (South Side)
Eufaula, OK 74432

Mailing address

4500 N Classen Blvd
Suite 200
Oklahoma City, OK 73118-4834
Phone (405) 524-4457

National Provider Directory

National Provider Directory
Tax ID family
Wesleyan Youth 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.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1881872166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N CLASSEN BLVD",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184834",
            "telephone_number": "405-524-4457",
            "fax_number": "405-524-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MILE WEST OF HIGHWAY 69 ON HIGHWAY 9 (SOUTH SIDE)",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "74432",
            "telephone_number": "405-524-4457",
            "fax_number": "405-524-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYAN YOUTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-524-4457",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OK",
            "license": "K8600030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.