PRODIGY FOUNDATION
NPI 1700928603
Community/Behavioral Health in Tahlequah, OK

Active since February 14, 2007
1024 S MUSKOGEE AVE, TAHLEQUAH, OK 74464(918) 456-8399(918) 456-8773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prodigy Foundation NPPES

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

PRODIGY FOUNDATION (NPI 1700928603) is a healthcare organization registered as a community/behavioral health in Tahlequah, Oklahoma and active in the NPI registry since February 2007. The organization lists Barry B. Averett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700928603
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRODIGY FOUNDATION
Location Address1024 S MUSKOGEE AVETahlequah, OK 74464-4734
Mailing Address1024 S Muskogee AveTahlequah, OK 74464-4734 · (918) 456-8399 · Fax (918) 456-8773
Fax(918) 456-8773
Organization SubpartNo
Authorized OfficialBarry B. AverettOffice Manager · (918) 456-8399
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1700928603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1024 S MUSKOGEE AVE, Tahlequah, OK 74464

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
1024 S MUSKOGEE AVE
TAHLEQUAH, OK 74464
Registered Nurse (Psychiatric/Mental Health)
1024 S MUSKOGEE AVE
TAHLEQUAH, OK 74464

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 Prodigy Foundation's NPI number?

The NPI number for Prodigy Foundation is 1700928603. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Prodigy Foundation located?

Prodigy Foundation is located at 1024 S Muskogee Ave, Tahlequah, OK 74464. The listed phone number is (918) 456-8399.

What is Prodigy Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Prodigy Foundation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.