SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM
NPI 1821105263
Residential Treatment Facility, Emotionally Disturbed Children in Tulsa, OK
NPI Status: Active since August 23, 2006
Contact Information
6125 S SHERIDAN RD
SUITE D
TULSA, OK
ZIP 74133
Phone: (918) 585-3083
Fax: (918) 492-2075
- Organization
- Residential Treatment Facility, Emotiona...
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 Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1821105263 assigned on August 2006. The practitioner's primary taxonomy code is 322D00000X with license number K8600196 (OK). 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
- 1821105263
- 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
- 08-23-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- K8600196
- License State
- OK
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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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. | |||||||||
| 1 | 8 | 2 | 1 | 1 | 0 | 5 | 2 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 2 | 0 | 10 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 2 + 0 + 1 + 0 + 2 + 1 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1821105263 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1619074739 | ALEXA J GOODEN PHD, RN, BC, CNS Individual | Nurse Practitioner | 6125 S SHERIDAN RD SUITE D TULSA, OK 74133 (918) 585-3083 |
| 1366529166 | SONDA KAYLENE POWELL DC Individual | Chiropractor | 6125 S SHERIDAN RD SUITE H TULSA, OK 74133 (918) 477-7909 |
| 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 | Counselor | 6125 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 |
| 1104099613 | POWELL CHIROPRACTIC, P.C. Organization | Chiropractor | 6125 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 |
| 1740384049 | SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 6125 S SHERIDAN RD SUITE D TULSA, OK 74133 (918) 585-3083 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821105263, enumerated in the NPI registry as an "organization" on August 23, 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 Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X
This NPI record was last updated on August 23, 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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