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SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM
NPI 1821105263
Residential Treatment Facility, Emotionally Disturbed Children in Tulsa, OK

Active since August 23, 2006
6125 S SHERIDAN RD, SUITE D, TULSA, OK 74133(918) 585-3083(918) 492-2075 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 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 1821105263) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Tulsa, Oklahoma and active in the NPI registry since August 2006. The organization lists Sharon Worsham, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1821105263
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
Location Address6125 S SHERIDAN RD, SUITE DTulsa, OK 74133-4056
Mailing Address6262 S Sheridan RdTulsa, OK 74133-4055 · (918) 492-8200 · Fax (918) 493-3268
Phone(918) 585-3083
Fax(918) 492-2075
Organization SubpartNo
Authorized OfficialSharon WorshamChief Executive Officer · (918) 492-8200
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821105263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in OK · K8600196
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
6125 S SHERIDAN RD, Tulsa, OK 74133
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Other Names 1

Doing Business AsShadow Mountain Behavioral Health System

Other Providers at the Same Location NPPES 11

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

CHARLEY FARLEY LCSW
Social Worker (Clinical)
6125 S SHERIDAN RD
TULSA, OK 74133
Tulsa County (918) 585-3083
POWELL CHIROPRACTIC, P.C.
Chiropractor
6125 S SHERIDAN RD, SUITE H
TULSA, OK 74133
Tulsa County (918) 477-7909
SHARON NICHOLS LPC
Counselor (Professional)
6125 S SHERIDAN RD, SUITE D
TULSA, OK 74133
Tulsa County (918) 585-3083
KRISTI JOHNSON LPC
Counselor (Professional)
6125 S SHERIDAN RD
TULSA, OK 74133
Tulsa County (918) 585-3083
SONDA KAYLENE POWELL DC
Chiropractor
6125 S SHERIDAN RD, SUITE H
TULSA, OK 74133
Tulsa County (918) 477-7909
BRANDYN WILLIS LPC
Counselor (Professional)
6125 S SHERIDAN RD, SUITE D
TULSA, OK 74133
Tulsa County (918) 585-3085
ALEXA J GOODEN PHD, RN, BC, CNS
Nurse Practitioner
6125 S SHERIDAN RD, SUITE D
TULSA, OK 74133
Tulsa County (918) 585-3083
STEPHANIE SPILLERS LPC
Counselor (Professional)
6125 S SHERIDAN RD
TULSA, OK 74133
Tulsa County (918) 585-3083

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 1821105263. It was assigned to this organization in the NPPES registry on August 23, 2006. 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 6125 S Sheridan Rd Suite D, Tulsa, OK 74133. The listed phone number is (918) 585-3083.

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

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Shadow Mountain Behavioral Health System, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.