BRIGGS THERAPEUTIC INTENSIVE CHILD DEVOPMENT SERVICES INC. (NPI# 1316228414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316228414 |
| Entity Type | Organization |
| Organization Name | BRIGGS THERAPEUTIC INTENSIVE CHILD DEVOPMENT SERVICES INC. |
| Practice Address |
425 S Fretz Ave Ste E Edmond OK 73003-5568 |
| Mailing Address |
425 Fretz Ave Ste E Edmond OK 73003-5568 |
| Practice Telephone | 4058442992 |
| Mailing Telephone | 4058442992 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | CARINA MUN LAN BULOCK (TEACHER ASSISTANT) |
| Authorized Official Telephone | 4055129000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
425 S FRETZ AVE STE E |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593344 | Oklahoma Families First Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2504 E 71st St Ste A, Tulsa, OK 74136-5504 | 2019-11-26 |
| 1881872166 | Wesleyan Youth Inc. | Residential Treatment Facility, Emotionally Disturbed Children | One Mile West of Highway 69 On Highway 9 (south Side), Eufaula, OK 74432 | 2008-02-08 |
| 1790963445 | Wesleyan Youth Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 605 Sw B Ave, #3, Lawton, OK 73501-3962 | 2008-02-05 |
| 1730203951 | Red Rock Behavorial Health Services | Residential Treatment Facility, Emotionally Disturbed Children | 4404 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2007-03-16 |
| 1164590790 | Cimarron Valley Therapeutic Service, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1005 9th St, Woodward, OK 73801-3131 | 2006-12-01 |
| 1437251576 | Oklahoma Families First Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2227 W Lindsey St Ste 1550, Norman, OK 73069-4075 | 2006-09-01 |
| 1841304250 | Shadow Mountain Behavioral Health System, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2801 Venture Dr, Norman, OK 73069-8215 | 2006-08-19 |
| 1134765068 | Oklahoma Families First Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1301 Kiowa St, Ardmore, OK 73401-2280 | 2019-11-26 |
| 1649816802 | Oklahoma Families First Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1705 Cradduck Rd, Ada, OK 74820-9491 | 2019-11-22 |
| 1275083867 | Oklahoma Families First, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2526 E 71st St, Ste A, Tulsa, OK 74136-5538 | 2016-10-07 |
| Find all providers with the same taxonomy | ||||
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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.