SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM – NPI #1821105263
Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM is a residential treatment facility located in TULSA, OK. NPPES has assigned the NPI number 1821105263 to SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM on August 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM” is a dba name, the actual legal business name for this organization is SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM below.
NPI Profile for
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
(about 20 years ago)
SUITE D
TULSA, OK 74133-4056 Phone: (918) 585-3083 Fax: (918) 492-2075
TULSA, OK 74133-4055 Phone: (918) 492-8200 Fax: (918) 493-3268
CHIEF EXECUTIVE OFFICER
Phone: (918) 492-8200
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
OK | K8600196 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.