SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM
NPI 1740384049
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tulsa, OK

NPI Status: Active since September 08, 2006

Contact Information

6125 S SHERIDAN RD
SUITE D
TULSA, OK
ZIP 74133
Phone: (918) 585-3083
Fax: (918) 492-2075

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Shadow Mountain Behavioral Health System, a provider established in Tulsa, Oklahoma operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1740384049 assigned on September 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Shadow Mountain Behavioral Health System. The authorized official of this NPI record is Sharon Worsham (Chief Executive Officer)

NPI
1740384049
Provider Legal Name
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
Other Organization Name
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6125 S SHERIDAN RD SUITE D TULSA, OK 74133
Location Phone
(918) 585-3083
Location Fax
(918) 492-2075
Mailing Address
6262 S SHERIDAN RD TULSA, OK 74133
Mailing Phone
(918) 492-8200
Mailing Fax
(918) 492-2075
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2006
Last Update Date
08-22-2020
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License State
OK

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

SHARON WORSHAM

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(918) 492-8200

Reviews for SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM

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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.
1740384049
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
278068808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 6 + 8 + 8 + 0 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1740384049 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619074739 ALEXA J GOODEN PHD, RN, BC, CNS
Individual
Nurse Practitioner6125 S SHERIDAN RD SUITE D
TULSA, OK 74133
(918) 585-3083
1366529166 SONDA KAYLENE POWELL DC
Individual
Chiropractor6125 S SHERIDAN RD SUITE H
TULSA, OK 74133
(918) 477-7909
1093911216 LARRY LYNCH LCSW
Individual
Social Worker (Clinical)6125 S SHERIDAN RD
TULSA, OK 74133
(918) 585-3083
1700082922 STEPHANIE SPILLERS LPC
Individual
Counselor (Professional)6125 S SHERIDAN RD
TULSA, OK 74133
(918) 585-3083
1043416266 CHARLEY FARLEY LCSW
Individual
Social Worker (Clinical)6125 S SHERIDAN RD
TULSA, OK 74133
(918) 585-3083
1881890010 TERRY WOOD LPC
Individual
Counselor6125 S SHERIDAN RD
TULSA, OK 74133
(918) 585-3083
1992901102 JOAN BJORNSGAARD LPC
Individual
Counselor (Professional)6125 S SHERIDAN RD
TULSA, OK 74133
(918) 585-3083
1174716393 SHARON NICHOLS LPC
Individual
Counselor (Professional)6125 S SHERIDAN RD SUITE D
TULSA, OK 74133
(918) 585-3083
1275715500 KRISTI JOHNSON LPC
Individual
Counselor (Professional)6125 S SHERIDAN RD
TULSA, OK 74133
(918) 585-3083
1104099613POWELL CHIROPRACTIC, P.C.
Organization
Chiropractor6125 S SHERIDAN RD SUITE H
TULSA, OK 74133
(918) 477-7909
1508022302 BRANDYN WILLIS LPC
Individual
Counselor (Professional)6125 S SHERIDAN RD SUITE D
TULSA, OK 74133
(918) 585-3085
1609023860 CYNTHIA RORIE LPC
Individual
Counselor (Professional)6125 S SHERIDAN RD SUITE D
TULSA, OK 74133
(918) 585-3083
1821105263SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
Organization
Residential Treatment Facility, Emotionally Disturbed Children6125 S SHERIDAN RD SUITE D
TULSA, OK 74133
(918) 585-3083

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740384049, enumerated in the NPI registry as an "organization" on September 08, 2006

The provider is located at 6125 S Sheridan Rd Suite D Tulsa, Ok 74133 and the phone number is (918) 585-3083

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on September 08, 2006. 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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