OrganizationActive
Shadow Mountain Behavioral Health System, LLC
NPI 1285867713 · Psychiatric Residential Treatment Facility · Tulsa, OK
Provider details
- NPI number
- 1285867713
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Psychiatric Solutions Inc
- Organization subpart
- Yes
- Authorized official
- Mike Kistler, Chief Executive Officer(918) 492-8200
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4012 E 35th St
Tulsa, OK 74135-4528
Phone: (918) 492-8200
Fax: (918) 493-3268
Approximate (ZIP-level) locationGet directions
Mailing address
6262 S Sheridan Rd
Tulsa, OK 74133-4055
Other names (DBA / former)
- Doing business as
- Shadow Mountain Behavioral Health System
Registry dates
- Enumerated
- 2009-09-01
- Last updated
- 2009-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.