Organization Active NPI

Creoks Behavioral Health Services, Inc

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1972830933
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREOKS BEHAVIORAL HEALTH SERVICES, INC
Practice address
2725 E Skelly Dr Ste 200
Tulsa, OK 74105-6253
Phone
(918) 814-5718
Fax
(918) 322-6168
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Mr. Phil Black, LPC, BCPC
Title
Diresctor of Intensive Outpatient P
Phone
(918) 592-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2725 E Skelly Dr Ste 200
Tulsa, OK 74105-6253

Mailing address

14701 Courtney LN
Glenpool, OK 74033-3556
Phone (918) 814-5718

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1972830933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 COURTNEY LN",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333556",
            "telephone_number": "918-814-5718",
            "fax_number": "918-322-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E SKELLY DR STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056253",
            "telephone_number": "918-814-5718",
            "fax_number": "918-322-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREOKS BEHAVIORAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "DIRESCTOR OF INTENSIVE OUTPATIENT P",
        "authorized_official_telephone_number": "918-592-1622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, BCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.