CEDAR RIDGE ADOLESCENT RTC
NPI 1124345590
Psychiatric Residential Treatment Facility in Oklahoma City, OK

NPI Status: Active since April 26, 2010

Contact Information

6501 NE 50TH ST
OKLAHOMA CITY, OK
ZIP 73141
Phone: (405) 605-6111
Fax: (405) 424-0457

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About CEDAR RIDGE ADOLESCENT RTC

This page provides the complete NPI Profile along with additional information for Cedar Ridge Adolescent Rtc, a provider established in Oklahoma City, Oklahoma operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1124345590 assigned on April 2010. The practitioner's primary taxonomy code is 323P00000X with license number K8500000368 (OK). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Cedar Ridge Adolescent Rtc. The authorized official of this NPI record is John A. Holter Rn (Ceo)

NPI
1124345590
Provider Legal Name
UHS OKLAHOMA CTIY, LLC
Other Organization Name
CEDAR RIDGE ADOLESCENT RTC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
6501 NE 50TH ST OKLAHOMA CITY, OK 73141
Location Phone
(405) 605-6111
Location Fax
(405) 424-0457
Mailing Address
6501 NE 50TH ST OKLAHOMA CITY, OK 73141
Mailing Phone
(405) 605-6111
Mailing Fax
(405) 424-0457
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2010
Last Update Date
04-26-2010
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License No.
K8500000368
License State
OK
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN A. HOLTER RN

Authorized Official Title
CEO
Authorized Official Phone

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200085660EMEDICAID (05)OK 

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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.
1124345590
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21446410518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 6 + 4 + 1 + 0 + 5 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1124345590 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992826663 JESSICA ANNE RHOADS LPC
Individual
Counselor (Professional)6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-5936
1205010485MS. DALE LORENZEN MCKAY LCSW
Individual
Social Worker (Clinical)6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6111
1609051440 TANYA MATTEK LCSW
Individual
Social Worker (Clinical)6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6111
1720250913UHS OKLAHOMA CITY LLC
Organization
General Acute Care Hospital (Children)6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6111
1588836779UHS OKLAHOMA CITY, LLC
Organization
Psychiatric Residential Treatment Facility6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6111
1609193135CEDAR RIDGE HOSPITAL
Organization
Residential Treatment Facility, Emotionally Disturbed Children6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6111
1629342027DUSTIN BAKER MD PC
Organization
Family Medicine6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 470-6510
1447505151CEDAR RIDGE
Organization
Psychiatric Hospital6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6111
1750754834 THERESA ZAMBINO
Individual
Case Manager/Care Coordinator6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6111
1598716490UHS OKLAHOMA CITY LLC
Organization
Psychiatric Hospital6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6111
1083985600UHS OKLAHOMA CITY LLC
Organization
Psychiatry & Neurology (Psychiatry)6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6111
1477802510 JACQUELYN BAKER
Individual
Counselor (Professional)6501 NE 50TH ST
OKLAHOMA CITY, OK 73141
(405) 605-6116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124345590, enumerated in the NPI registry as an "organization" on April 26, 2010

The provider is located at 6501 Ne 50th St Oklahoma City, Ok 73141 and the phone number is (405) 605-6111

This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 26, 2010. 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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