CEDAR RIDGE HOSPITAL (NPI# 1609193135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609193135 |
Entity Type | Organization |
Organization Name | CEDAR RIDGE HOSPITAL |
Practice Address |
6501 Ne 50th St Oklahoma City OK 73141-9118 |
Practice Telephone | 4056056111 |
Enumeration Date | 2010-04-23 |
Last Update Date | 2010-04-23 |
Authorized Official Name | MR. CHANDELL TYRONE BELL (MENTAL HEALTH TECHNICIAN) |
Authorized Official Telephone | 4055323872 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | OK | Residential Treatment Facilities |
Street Address |
6501 NE 50TH ST |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73141-9118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598716490 | Uhs Oklahoma City LLC | Psychiatric Hospital | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2006-05-15 |
1659903300 | Aspen Zermeno | Case Manager/Care Coordinator | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2020-02-11 |
1750754834 | Theresa Zambino | Case Manager/Care Coordinator | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2015-11-11 |
1447505151 | Cedar Ridge | Psychiatric Hospital | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2012-07-18 |
1629342027 | Dustin Baker Md PC | Family Medicine | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2012-03-02 |
1083985600 | Uhs Oklahoma City LLC | Physician Assistant | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2012-01-13 |
1124345590 | Uhs Oklahoma Ctiy, LLC | Psychiatric Residential Treatment Facility | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2010-04-26 |
1720250913 | Uhs Oklahoma City LLC | General Acute Care Hospital | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2008-03-27 |
1588836779 | Uhs Oklahoma City, LLC | Psychiatric Residential Treatment Facility | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2008-03-27 |
1609051440 | Tanya Mattek | Social Worker | 6501 Ne 50th St, Oklahoma City, OK 73141-9118 | 2007-12-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225329022 | Katawna J Stephens | Behavioral Analyst | 9816 Mark Trail, Oklahoma City, OK 73141 | 2011-04-27 |
1023315058 | Chantal Z Wandick | Counselor | 5915 Ne 63rd, Oklahoma City, OK 73141 | 2011-02-28 |
1518121342 | Professional Dental Services Inc | Dentist | 9822 Ne 23rd, Oklahoma City, OK 73141 | 2008-07-10 |
1346358215 | Dr Karen B Rattan & Assoc P.C. | Dentist | 10420 Ne 23rd Street, Oklahoma City, KS 73141 | 2006-08-29 |
1508960899 | David George Hall | Pharmacist | 12716 N.e. 36th Street, Oklahoma City, OK 73141 | 2006-09-08 |
1225345408 | Crutcho School District | Local Education Agency (LEA) | 2401 N Air Depot Blvd, Oklahoma City, OK 73141-1407 | 2010-09-09 |
1902918915 | Oklahoma County Clinic Phcy | Pharmacy | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2006-08-31 |
1174156566 | Damion Dwan Gilbreath I | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-13 |
1811520208 | Dangelo Mccorvey | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-13 |
1326670027 | Marcus Deshon Flynn | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-10 |
Find all providers in zip 73141 |
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 |
1447438189 | Wesleyan Youth Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4500 N Classen Blvd, Suite 200, Oklahoma City, OK 73118-4834 | 2008-02-05 |
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 |
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City | OKLAHOMA CITY |
Zip Code | 73141 |
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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.