SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM
NPI 1285867713
Psychiatric Residential Treatment Facility in Tulsa, OK

Active since September 01, 2009
4012 E 35TH ST, TULSA, OK 74135(918) 492-8200(918) 493-3268 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shadow Mountain Behavioral Health System NPPES

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

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM (NPI 1285867713) is a healthcare organization registered as a psychiatric residential treatment facility in Tulsa, Oklahoma and active in the NPI registry since September 2009. The organization lists Mike Kistler, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1285867713
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameSHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
Location Address4012 E 35TH STTulsa, OK 74135-4528
Mailing Address6262 S Sheridan RdTulsa, OK 74133-4055 · (918) 492-8200 · Fax (918) 493-3268
Fax(918) 493-3268
Organization SubpartYesParent: Psychiatric Solutions Inc
Authorized OfficialMike KistlerChief Executive Officer · (918) 492-8200
Enumeration DateSeptember 1, 2009
NPI 1285867713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

4012 E 35TH ST, Tulsa, OK 74135

Other Names 1

Doing Business AsShadow Mountain Behavioral Health System

Other Providers at the Same Location NPPES 4

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

Case Manager/Care Coordinator
4012 E 35TH ST
TULSA, OK 74135
Case Management
4012 E 35TH ST
TULSA, OK 74135
Community Based Residential Treatment Facility, Mental Illness
4012 E 35TH ST
TULSA, OK 74135
Case Manager/Care Coordinator
4012 E 35TH ST
TULSA, OK 74135

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 Shadow Mountain Behavioral Health System, LLC's NPI number?

The NPI number for Shadow Mountain Behavioral Health System, LLC is 1285867713. It was assigned to this organization in the NPPES registry on September 1, 2009. The provider is doing business as Shadow Mountain Behavioral Health System.

Where is Shadow Mountain Behavioral Health System, LLC located?

Shadow Mountain Behavioral Health System, LLC is located at 4012 E 35th St, Tulsa, OK 74135. The listed phone number is (918) 492-8200.

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

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Shadow Mountain Behavioral Health System, LLC was last updated on September 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.