OrganizationActive
Prodigy Foundation
NPI 1700928603 · Community/Behavioral Health Agency · Tahlequah, OK
Prodigy Foundation is a Community/Behavioral Health Agency organization in Tahlequah, OK (NPI 1700928603).
Provider details
- NPI number
- 1700928603
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Barry Averett, Office Manager(918) 456-8399
Specialties & taxonomies
Agencies
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
1024 S Muskogee Ave
Tahlequah, OK 74464-4734
Phone: (918) 456-8399
Fax: (918) 456-8773
Street-level locationGet directions
Mailing address
1024 S Muskogee Ave
Tahlequah, OK 74464-4734
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Prodigy Foundation's NPI number?
- Prodigy Foundation's National Provider Identifier (NPI) is 1700928603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prodigy Foundation?
- Prodigy Foundation is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Prodigy Foundation located?
- Prodigy Foundation's practice location on file with NPPES is 1024 S Muskogee Ave, Tahlequah, OK 74464-4734.
- What is Prodigy Foundation's phone number?
- The practice phone number listed in the NPPES registry for Prodigy Foundation is (918) 456-8399.
- Who is the authorized official for Prodigy Foundation?
- The authorized official listed on Prodigy Foundation's NPPES record is Barry Averett, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prodigy Foundation's NPI active?
- Yes — Prodigy Foundation's NPI (1700928603) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.