EXCEPTIONAL MINDS THERAPEUTIC CHILD DEVELOPMENT SERVICES INC


Address: 501 S Coltrane Rd Bldg A, Edmond, OK 73034-6714
Phone: 4052850433

EXCEPTIONAL MINDS THERAPEUTIC CHILD DEVELOPMENT SERVICES INC (NPI# 1376976852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376976852
Entity Type Organization
Organization Name EXCEPTIONAL MINDS THERAPEUTIC CHILD DEVELOPMENT SERVICES INC
Practice Address 501 S Coltrane Rd Bldg A
Edmond
OK 73034-6714
Practice Telephone 4052850433
Mailing Telephone 4052850433
Enumeration Date 2013-08-19
Last Update Date 2013-09-03
Authorized Official Name DARRICK WRENN (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4052850433
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 501 S COLTRANE RD BLDG A
City EDMOND
State OK
Zip Code 73034-6714

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NPI Name Taxonomy Address Enumeration
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1821616038 Aaron Michael Gowens Specialist/Technologist 015 Wantland Hall 100 University Dr., Edmond, OK 73034 2020-07-14
1043834849 Paddington Place Lcc Intermediate Care Facility, Mental Illness 3225 French Park Drive, Suite 6, Edmond, OK 73034 2020-06-08
1083254932 Purpose Healthcare Inc Psychologist 301 South Blvd, Suite 117, Edmond, OK 73034 2020-01-08
1740773662 Healthcare Express, LLP Family Medicine 2300 E 2nd St, Edmond, OK 73034 2018-06-14
1427555713 Sara Nicole Smith Specialist/Technologist 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 2018-04-12
1619475084 Carissa Leigh Brackelsberg Chiropractor 3709 E 2nd St, Edmond, OK 73034 2018-01-31
1760996177 Laurel Michelle Glendening Physical Therapist 3531 River Wood Lane, Edmond, OK 73034 2017-11-21
1134643380 Keith S Quinn Dentist 3008 Peaceful Ln, Edmond, OK 73034 2017-07-31
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427656909 Against All Odds Youth and Family Services Community/Behavioral Health 2701 Nw 185th St, Edmond, OK 73012-9795 2020-10-15
1477170322 Glostars LLC Community/Behavioral Health 19704 Vivace Dr, Edmond, OK 73012-5232 2020-06-26
1134646524 Guaranteed Recovery Services LLC Community/Behavioral Health 1900 Nw 176th Ter, Edmond, OK 73012-6981 2017-08-25
1609301795 Dos Abuelos Arizona LLC Community/Behavioral Health 820 W Danforth Rd # 105, Edmond, OK 73003-5006 2017-04-26
1487013801 Courage Counseling Center Community/Behavioral Health 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 2016-02-12
1851769509 Hope and Healing Counseling Services Community/Behavioral Health 19508 Danforth Farms Blvd, Edmond, OK 73012-3475 2015-09-11
1821405770 Seasons of Change Behavioral Health Services, Inc. Community/Behavioral Health 409 S Fretz Ave, Suite C, Edmond, OK 73003-5570 2014-07-11
1447691217 Richard Yokell, Md LLC Community/Behavioral Health 2529 South Kelly Avenue, Suite B, Edmond, OK 73013 2013-07-09
1902146012 Cristina D Yarbrough Community/Behavioral Health 1701 Godhania Rd, Edmond, OK 73003-3703 2013-02-26
1508119850 Advance Counseling, PC Community/Behavioral Health 1732 Redland Dr, Edmond, OK 73003-2453 2012-10-24
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City EDMOND
Zip Code 73034

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Dataset Information

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.

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