Organization Active NPI

Open Arms Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Lawton, OK
National Provider Identifier
1962699983
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPEN ARMS BEHAVIORAL HEALTH, LLC
Practice address
2215 NW Cache Rd.
Suite 107
Lawton, OK 73505
Phone
(580) 351-9998
Fax
(580) 351-9898
NPI assigned
Oct 3, 2007
Last updated
Jul 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Dr. Ricardo Alberto Jerez, PH.D., LPCNPI 1417006321
Title
Clinical Director
Phone
(580) 351-9998

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2215 NW Cache Rd.
Suite 107
Lawton, OK 73505

Mailing address

2215 NW Cache Rd.
Suite 107
Lawton, OK 73505
Phone (580) 351-9998

National Provider Directory

National Provider Directory

Locations

2215 NW Cache Rd
Ste 107
Lawton, OK 73505
Phone (580) 351-9998

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1962699983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NW CACHE RD.",
            "address_2": "SUITE 107",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-351-9998",
            "fax_number": "580-351-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NW CACHE RD.",
            "address_2": "SUITE 107",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-351-9998",
            "fax_number": "580-351-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "JEREZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "580-351-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.