SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
NPI 1124037288
Clinic/Center - Medical Specialty in Tulsa, OK

Q: What is Shadow Mountain Behavioral Health System, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since August 07, 2006

6262 S SHERIDAN RD, TULSA, OK 74133(918) 492-8200(918) 493-3268 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Shadow Mountain Behavioral Health System, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC (NPI 1124037288) is a healthcare organization registered as a medical specialty in Tulsa, Oklahoma and active in the NPI registry since August 2006. The organization lists Sharon Worsham, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124037288

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameSHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC

Location Address6262 S SHERIDAN RDTulsa, OK 74133-4055

Mailing Address6262 S Sheridan RdTulsa, OK 74133-4055 · (918) 492-8200 · Fax (918) 493-3268

Phone(918) 492-8200

Fax(918) 493-3268

Organization SubpartNo

Authorized OfficialSharon WorshamChief Executive Officer · (918) 492-8200

Enumeration DateAugust 7, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1124037288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

6262 S SHERIDAN RD, Tulsa, OK 74133

Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC

Psychiatric Residential Treatment Facility