Prodigy Foundation
Prodigy Foundation is a healthcare organization registered as Community/Behavioral Health Agency in Tahlequah, OK, holding Type 2 (organization) NPI 1700928603 since 2007. The authorized official on file is Barry Averett, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700928603 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prodigy Foundation |
| Practice address | 1024 S MUSKOGEE AVE, Tahlequah, OK, 74464 |
| Phone | 9184568399 |
| Fax | 9184568773 |
| Enumeration date | 2007-02-14 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Barry Averett |
|---|---|
| Title | Office Manager |
| Phone | 9184568399 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Copy-ready billing details
Provider: Prodigy Foundation NPI: 1700928603 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 1024 S MUSKOGEE AVE, Tahlequah, OK, 74464
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386665743 | Prodigy Foundation | Organization | Clinical Social Worker | Tahlequah, OK |
| 1679619985 | Teresa Borremans | Individual | Psychiatric/Mental Health Registered Nurse | Tahlequah, OK |
Verify this record
Cross-check NPI 1700928603 against the authoritative CMS record: view Prodigy Foundation on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Prodigy Foundation?
What is the NPI number for Prodigy Foundation?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.