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OU EMERSON TEEN CLINIC
NPI 1215154794
Clinic/Center in Oklahoma City, OK

Active since April 19, 2007
720 N DEWEY AVE, OKLAHOMA CITY, OK 73102(405) 236-8172 Get Directions Write a Review

NPPES record last updated: September 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ou Emerson Teen Clinic NPPES

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

OU EMERSON TEEN CLINIC (NPI 1215154794) is a healthcare organization registered as a clinic/center in Oklahoma City, Oklahoma and active in the NPI registry since April 2007. The organization lists Brian Maddy, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1215154794
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA -OU EMERSON TEEN CLINIC
Location Address720 N DEWEY AVEOklahoma City, OK 73102-1214
Mailing Address1122 Ne 13th St, Ori 236Oklahoma City, OK 73117-1039
Phone(405) 236-8172
Organization SubpartNo
Authorized OfficialBrian MaddyChief Executive Officer · (405) 271-1515
Enumeration DateApril 19, 2007
Last NPPES UpdateSeptember 28, 2009
✔ NPI 1215154794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
720 N DEWEY AVE, Oklahoma City, OK 73102
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Other Names 1

Other NameOu Emerson Teen Clinic

Other Identifiers 1

Medicaid100744720NOK

Other Providers at the Same Location NPPES 9

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

TRACEY DOUGLAS LPC
Counselor (Mental Health)
720 N DEWEY AVE
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 605-1926
MRS. MELISSA ANN MCGOWEN LPC
Counselor (Mental Health)
720 N DEWEY AVE
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 605-1926
MRS. STEPHANIE JAREE REYNOLDS
Counselor
720 N DEWEY AVE
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 605-1926
KELSEY R BRANHAM B.S.
Counselor
720 N DEWEY AVE
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 605-1926
MRS. EMILY SUSAN VASS
Counselor
720 N DEWEY AVE
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 605-1926
MISS KELLY LYNN KEITH
Counselor
720 N DEWEY AVE
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 605-1926
MRS. JESSICA L GIVENS M.A.
Counselor
720 N DEWEY AVE
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 605-1926
MICHAEL DICKERSON BA
Counselor
720 N DEWEY AVE
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 605-1926

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Regents Of The University Of Oklahoma -Ou Emerson Teen Clinic's NPI number?

The NPI number for Board Of Regents Of The University Of Oklahoma -Ou Emerson Teen Clinic is 1215154794. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is also known as Ou Emerson Teen Clinic.

Where is Board Of Regents Of The University Of Oklahoma -Ou Emerson Teen Clinic located?

Board Of Regents Of The University Of Oklahoma -Ou Emerson Teen Clinic is located at 720 N Dewey Ave, Oklahoma City, OK 73102. The listed phone number is (405) 236-8172.

What is Board Of Regents Of The University Of Oklahoma -Ou Emerson Teen Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Board Of Regents Of The University Of Oklahoma -Ou Emerson Teen Clinic was last updated on September 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.