OrganizationActive
Shadow Mountain Behavioral Health System LLC
NPI 1316091457 · Psychiatric Residential Treatment Facility · Tulsa, OK
Provider details
- NPI number
- 1316091457
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mike Kistler, Ceo(918) 492-8200
- License
- K8500227 (OK)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 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
1027 E 66th Pl
Tulsa, OK 74136-3701
Phone: (918) 293-2552
Street-level locationGet directions
Mailing address
1027 E 66th Pl
Tulsa, OK 74136-3701
Other names (DBA / former)
- Doing business as
- Shadow Mountain Behavioral Health System Pharmacy
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2010-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.