DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER NPI 1003005943

Counselor (Mental Health) in Ardmore, OK

About DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER

Developmental Assessment & Intervention Center is a provider in Ardmore, OK. The NPI number assigned to this provider is 1003005943. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Developmental Assessment & Intervention Center operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as The Dai Center.

NPI1003005943 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER
Provider Location Address301 WEST MAIN SUITE 324 ARDMORE, OK 73401 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address301 WEST MAIN SUITE 324 ARDMORE, OK 73401 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameTHE DAI CENTER Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date10-16-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-16-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER
301 WEST MAIN
SUITE 324
ARDMORE, OK
ZIP 73401
Phone: (580) 226-9222
Fax: (580) 226-9226
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Mailing Address

DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER
301 WEST MAIN
SUITE 324
ARDMORE, OK
ZIP 73401
Phone: (580) 226-9222
Fax: (580) 226-9226

Primary Taxonomy

Taxonomy Code101YM0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.1730
License StateOK

Authorized Official

Authorized Official NameMRS. BRENDA K ULRICH LPC Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(580) 226-9222

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Map Location


DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER address is 301 WEST MAIN SUITE 324 ARDMORE, OK 73401