CEDRIC GLENN
NPI 1114321486
Community Based Residential Treatment Facility, Mental Illness in Tulsa, OK

NPI Status: Active since October 15, 2014

Contact Information

1721 E 72ND ST
1803
TULSA, OK
ZIP 74136
Phone: (813) 388-3773

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  • Individual
  • Male
  • Community Based Residential Treatment Fa...

About CEDRIC GLENN

This page provides the complete NPI Profile along with additional information for Cedric Glenn, a provider established in Tulsa, Oklahoma with a medical specialization in Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1114321486 assigned on October 2014. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1114321486
Provider Name
CEDRIC GLENN
Gender
Male
Entity Type
Individual
Location Address
1721 E 72ND ST 1803 TULSA, OK 74136
Location Phone
(813) 388-3773
Mailing Address
1721 E 72ND ST 1803 TULSA, OK 74136
Mailing Phone
(813) 388-3773
Is Sole Proprietor?
Yes
Enumeration Date
10-15-2014
Last Update Date
10-15-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114321486
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124622416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 6 + 2 + 2 + 4 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1114321486 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114321486, enumerated in the NPI registry as an "individual" on October 15, 2014

The provider is located at 1721 E 72nd St 1803 Tulsa, Ok 74136 and the phone number is (813) 388-3773

The provider's speciality is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on October 15, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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