DIVERSIFIED FAMILY SERVICES INC (NPI# 1720152614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720152614 |
Entity Type | Organization |
Organization Name | DIVERSIFIED FAMILY SERVICES INC |
Practice Address |
1021 E Hwy 66 Elk City OK 73644 |
Mailing Address |
Po Box 2438 Elk City OK 73648 |
Practice Telephone | 5802254337 |
Practice Fax Number | 5802254338 |
Mailing Telephone | 5802254337 |
Mailing Fax Number | 5802254338 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. CHARLES EVERETT PARKHURST JR. (OWNER OPERATOR) |
Authorized Official Telephone | 5802254337 |
Authorized Official Credential | LPC LADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | OK | Agencies |
Street Address |
1021 E HWY 66 |
City | ELK CITY |
State | OK |
Zip Code | 73644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
1396833083 | David William Bank | Family Medicine | 1221 Colorado, Elk City, OK 73644 | 2006-10-10 |
Find all providers in zip 73644 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235461641 | Yco Clinton Inc | Community/Behavioral Health | 120 S Madison Ave, Elk City, OK 73644-5741 | 2010-02-10 |
1811410913 | Oklahoma Mental Health Council | Community/Behavioral Health | 3080 W 3rd St, Elk City, OK 73644-4323 | 2017-07-20 |
1477874881 | Rivers Edge Mental Health & Associates | Community/Behavioral Health | 1800 W 1st St, Suite 104, Elk City, OK 73644-3133 | 2010-06-21 |
1346454949 | Oklahoma Mental Health Council | Community/Behavioral Health | 3080 W 3rd St, Elk City, OK 73644-4323 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
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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.