Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadow Mountain Behavioral Health System LLC

Organization Psychiatric Residential Treatment Facility · NPI 1316091457

Shadow Mountain Behavioral Health System LLC is a Psychiatric Residential Treatment Facility in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1027 E 66th Pl
Tulsa, OK 74136-3701
Phone: (918) 293-2552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X · Licence K8500227 (OK)

Record details

NPI number1316091457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Kistler — Ceo · (918) 492-8200
Other names Shadow Mountain Behavioral Health System Pharmacy
NPI enumeratedJanuary 23, 2007
Last updated in NPPESMarch 30, 2010
Mailing address1027 E 66th Pl, Tulsa, OK 74136-3701

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