OrganizationActive
Shadow Mountain Behavioral Health System, LLC
NPI 1831304351 · Psychiatric Residential Treatment Facility · Tulsa, OK
Provider details
- NPI number
- 1831304351
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mike Kistler, Ceo(918) 492-8200
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 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
6262 S Sheridan Rd
Tulsa, OK 74133-4055
Phone: (918) 597-3623
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 System at Eagle Creek
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 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.