BRENDA SUE MATHIS
NPI 1215261086
Community Based Residential Treatment Facility, Mental Illness in Broken Arrow, OK

Q: What is Brenda Sue Mathis's NPI number?

The NPI number for Brenda Sue Mathis is 1215261086. It was assigned to this organization in the NPPES registry on September 28, 2009.

Q: What is Brenda Sue Mathis's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Sue Mathis 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.

Active since September 28, 2009

4034 W ROANOKE PL, BROKEN ARROW, OK 74011(918) 698-7171 Get Directions Write a Review

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

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About Brenda Sue Mathis NPPES

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

BRENDA SUE MATHIS (NPI 1215261086) is a healthcare organization registered as a community based residential treatment facility, mental illness in Broken Arrow, Oklahoma and active in the NPI registry since September 2009. The organization lists Brenda Sue Mathis, Owner, as its authorized official.

NPPES Registry Identity

NPI1215261086

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameBRENDA SUE MATHIS

Location Address4034 W ROANOKE PLBroken Arrow, OK 74011-1327

Mailing Address4034 W Roanoke PlBroken Arrow, OK 74011-1327 · (918) 698-7171

Phone(918) 698-7171

Organization SubpartNo

Authorized OfficialBrenda Sue MathisOwner · (918) 698-7171

Enumeration DateSeptember 28, 2009

✔ NPI 1215261086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

4034 W ROANOKE PL, Broken Arrow, OK 74011

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Other Names 1

Doing Business AsBrenda Sue Mathis

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 Brenda Sue Mathis's NPI number?

The NPI number for Brenda Sue Mathis is 1215261086. It was assigned to this organization in the NPPES registry on September 28, 2009.

Where is Brenda Sue Mathis located?

Brenda Sue Mathis is located at 4034 W Roanoke Pl, Broken Arrow, OK 74011. The listed phone number is (918) 698-7171.

What is Brenda Sue Mathis's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Brenda Sue Mathis 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.