DR. C PROFESSIONAL SERVICES, PLLC (NPI# 1285966747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285966747 |
| Entity Type | Organization |
| Organization Name | DR. C PROFESSIONAL SERVICES, PLLC |
| Other Organization Name | CHARLES CAVETT PHD, PSYD |
| Practice Address |
7109 S Kentucky Ave Oklahoma City OK 73159-3427 |
| Practice Telephone | 4056018261 |
| Practice Fax Number | 4056018261 |
| Mailing Telephone | 4056018261 |
| Mailing Fax Number | 4056018261 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | CHARLES LYNN CAVETT (OWNER) |
| Authorized Official Telephone | 4056018261 |
| Authorized Official Credential | PHD, PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 4095 | OK | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Charles Cavett PhD, PsyD | Doing Business As Name - Organization |
| Street Address |
7109 S KENTUCKY AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427423565 | Occic | Community Based Residential Treatment Facility, Mental Illness | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-12-01 |
| 1447673819 | Red Rock Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 4130 N Lincoln Blvd, Oklahoma City, OK 73105-5209 | 2014-01-21 |
| 1053687780 | Community Couseling Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1700 Nw 17th St, Oklahoma City, OK 73106-4212 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801321070 | April Brock | Community Based Residential Treatment Facility, Mental Illness | 106 12th Ave Ne, Miami, OK 74354-3373 | 2017-04-25 |
| 1114321486 | Cedric Glenn | Community Based Residential Treatment Facility, Mental Illness | 1721 E 72nd St, 1803, Tulsa, OK 74136-5372 | 2014-10-15 |
| 1083058523 | Mongo Allen | Community Based Residential Treatment Facility, Mental Illness | 829 Nw 142nd St, Edmond, OK 73013-1962 | 2013-04-27 |
| 1801133236 | Southeastern Oklahoma Family Services | Community Based Residential Treatment Facility, Mental Illness | 1501 N Washington Ave, Durant, OK 74701-2127 | 2013-01-04 |
| 1043595879 | Oaktree Counseling Services | Community Based Residential Treatment Facility, Mental Illness | 2104 Nw Britni Cir, Lawton, OK 73505-3121 | 2011-10-12 |
| 1790089829 | Southern Oklahoma Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 5862 Us Hwy 70, Mead, OK 73449 | 2011-01-04 |
| 1881921898 | Sequoyah Residential Mental Health Facility, Inc | Community Based Residential Treatment Facility, Mental Illness | 103 N Wheeler Ave, Sallisaw, OK 74955-4617 | 2009-11-11 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| 1558570309 | Meadow Brook Residential Care Facility | Community Based Residential Treatment Facility, Mental Illness | 1000 Meadow Lane, Howe, OK 74940 | 2007-05-21 |
| 1568580108 | Transition House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 700 Asp Ave, Suite 2, Norman, OK 73069-4900 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.