JIM TALIAFERRO CMHC
NPI 1285779314
Clinic/Center - Mental Health (Including Community Mental Health Center) in Anadarko, OK

NPI Status: Active since February 20, 2007

Contact Information

110 SE 2ND STREET
ANADARKO, OK
ZIP 73005
Phone: (580) 248-5780
Fax: (580) 353-3202

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About JIM TALIAFERRO CMHC

This page provides the complete NPI Profile along with additional information for Jim Taliaferro Cmhc, a provider established in Anadarko, Oklahoma operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1285779314 assigned on February 2007. The practitioner's primary taxonomy code is 261QM0801X with license number 0005111 (OK). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Brenda Ototivo Lbp, Ladc (Executive Director)

NPI
1285779314
Provider Name
JIM TALIAFERRO CMHC
Entity Type
Organization
Location Address
110 SE 2ND STREET ANADARKO, OK 73005
Location Phone
(580) 248-5780
Location Fax
(580) 353-3202
Mailing Address
110 SE 2ND STREET ANADARKO, OK 73005
Mailing Phone
(580) 248-5780
Mailing Fax
(580) 353-3202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2007
Last Update Date
06-16-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
0005111
License State
OK

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. BRENDA OTOTIVO LBP, LADC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(580) 248-5780

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CRDBRMEDICARE UPIN (02)OK 
100706940IMEDICAID (05)OK 
100706940DMEDICAID (05)OK 
WCDLGMEDICARE ID-TYPE UNSPECIFIED (04)OKBCBS ARK OUTPATIENT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285779314
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651471832
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 7 + 1 + 8 + 3 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1285779314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285779314, enumerated as an "organization" on February 20, 2007.

The provider is located at 110 SE 2ND STREET ANADARKO, OK 73005 and the phone number is (580) 248-5780.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.