Shelly Jacobs MD PLLC
NPI 1770204364 · Substance Abuse Rehabilitation Facility · Oklahoma City, OK
Shelly Jacobs MD PLLC is a Substance Abuse Rehabilitation Facility organization in Oklahoma City, OK (NPI 1770204364).
Provider details
- NPI number
- 1770204364
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Khang Truong, Business Manager(405) 532-3176
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Suboxone and Wellness Clinic
Registry dates
- Enumerated
- 2022-09-12
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Frequently asked questions
- What is Shelly Jacobs MD PLLC's NPI number?
- Shelly Jacobs MD PLLC's National Provider Identifier (NPI) is 1770204364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shelly Jacobs MD PLLC?
- Shelly Jacobs MD PLLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Shelly Jacobs MD PLLC located?
- Shelly Jacobs MD PLLC's practice location on file with NPPES is 6424 N Portland Ave, Oklahoma City, OK 73116-2012.
- What is Shelly Jacobs MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Shelly Jacobs MD PLLC is (405) 757-4643.
- Who is the authorized official for Shelly Jacobs MD PLLC?
- The authorized official listed on Shelly Jacobs MD PLLC's NPPES record is Khang Truong, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shelly Jacobs MD PLLC's NPI active?
- Yes — Shelly Jacobs MD PLLC's NPI (1770204364) is active in the NPPES registry as of the last update on 2022-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.