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Shadow Mountain Behavioral Health System, LLC

Psychiatric Residential Treatment Facility in Tulsa, OK · enumerated 2009 · authorized official Mike Kistler, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285867713

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Registry record

Entity type Organization (Type 2)
Legal business name Shadow Mountain Behavioral Health System, LLC
Other name <Unavail>
Parent organization Psychiatric Solutions Inc
Practice address 4012 E 35th St, Tulsa, OK, 74135
Phone (918) 492-8200
Fax (918) 493-3268
Enumeration date Sep 1, 2009
Last updated in NPPES Sep 1, 2009

Taxonomy & classification

323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Mike Kistler
Title Chief Executive Officer
Phone (918) 492-8200

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-09-01. Verify at npiregistry.cms.hhs.gov.
Where is Shadow Mountain Behavioral Health System, LLC located?
The practice location on file with NPPES is in Tulsa, OK.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-01.