WESLEYAN YOUTH INC. (NPI# 1447438189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447438189 |
| Entity Type | Organization |
| Organization Name | WESLEYAN YOUTH INC. |
| Practice Address |
4500 N Classen Blvd Suite 200 Oklahoma City OK 73118-4834 |
| Practice Telephone | 4055244457 |
| Practice Fax Number | 4055245762 |
| Mailing Telephone | 4055244457 |
| Mailing Fax Number | 4055245762 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | MS. JAN SILLS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4055244457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | K86000030 | OK | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Street Address |
4500 N CLASSEN BLVD SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245453232 | Sherry Kay Hubbard | Dietitian, Registered | 4500 N Classen Blvd, Suite 206, Oklahoma City, OK 73118-4834 | 2007-04-10 |
| 1629427604 | Denise M Palmer | Counselor | 4500 N Classen Blvd, Oklahoma City, OK 73118-4834 | 2016-06-09 |
| 1720443179 | Open Arms Home Health | Home Health | 4500 N Classen Blvd, Ste 200, Oklahoma City, OK 73118-4834 | 2015-12-29 |
| 1194110080 | Mms Lab Services, LLC | Clinical Medical Laboratory | 4500 N Classen Blvd, Suite 203, Oklahoma City, OK 73118-4834 | 2015-03-30 |
| 1043615941 | Nutrition Solutions Simplified Pllc | Dietitian, Registered | 4500 N Classen Blvd, Suite 104, Oklahoma City, OK 73118-4834 | 2014-11-04 |
| 1770927790 | Prevent Clinic LLC | Electrodiagnostic Medicine | 4500 N Classen Blvd, Suite 203, Oklahoma City, OK 73118-4834 | 2013-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| 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 |
|---|---|---|---|---|
| 1730203951 | Red Rock Behavorial Health Services | Residential Treatment Facility, Emotionally Disturbed Children | 4404 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2007-03-16 |
| 1609193135 | Cedar Ridge Hospital | Residential Treatment Facility, Emotionally Disturbed Children | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2010-04-23 |
| 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 |
| 1316228414 | Briggs Therapeutic Intensive Child Devopment Services Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 425 S Fretz Ave Ste E, Edmond, OK 73003-5568 | 2011-09-01 |
| 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 |
| 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 | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
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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.