OrganizationActive
Shadow Mountain Behavioral Health System, LLC
NPI 1528383841 · Institutional Pharmacy · Tulsa, OK
Provider details
- NPI number
- 1528383841
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Parent organization
- Psychiatric Solutions, Inc
- Organization subpart
- Yes
- Authorized official
- Kevin Burgess, Ceo(918) 492-8200
- License
- 25487 (OK)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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) 492-8200
Fax: (918) 488-0940
Street-level locationGet directions
Mailing address
6262 S Sheridan Rd
Tulsa, OK 74133-4055
Other names (DBA / former)
- Doing business as
- Shadow Mountain Behavioral Health
Registry dates
- Enumerated
- 2010-03-30
- 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.