OrganizationActive
Shadow Mountain Behavioral Health System, LLC
NPI 1124037288 · Medical Specialty Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1124037288
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sharon Worsham, Chief Executive Officer(918) 492-8200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6262 S Sheridan Rd
Tulsa, OK 74133-4055
Phone: (918) 492-8200
Fax: (918) 493-3268
Street-level locationGet directions
Mailing address
6262 S Sheridan Rd
Tulsa, OK 74133-4055
Registry dates
- Enumerated
- 2006-08-07
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.