Red Rock Behavioral Health Services – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1275574907

Red Rock Behavioral Health Services is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The organization holds a License No. LICENSES NOT ISSUED (OK). The NPI Number for Red Rock Behavioral Health Services is 1275574907

Main info

Organization
Name
Red Rock Behavioral Health Services
NPI
1275574907
Phone
(405) 424-7711
Address
4400 N LINCOLN BLVD
Authorized Official
ANGI MAXWELL-DUVERGER MANAGER, CREDENTIALING
Enumeration Date
10 June 2006
Last Update Date
2 May 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Red Rock Behavioral Health Services

  • 4400, North Lincoln Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73105, United States

    OKLAHOMA CITY, OK 731055104

    Phone: (405) 424-7711

    Fax: (405) 425-0343

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (253 days ago).

Enrollment records

1

Earliest due date

2025-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040518001034OClinic/Group PracticeOK2025-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73105)

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Reviews

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Frequently asked questions

What federal number belongs to Red Rock Behavioral Health Services?
The federal identifier for Red Rock Behavioral Health Services is NPI 1275574907.
Is Red Rock Behavioral Health Services active in the national directory?
Red Rock Behavioral Health Services's public NPI profile is in an active state.
What does Red Rock Behavioral Health Services treat or focus on?
Patients typically see Red Rock Behavioral Health Services under the specialty Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Does Red Rock Behavioral Health Services practice in Oklahoma?
You will see Oklahoma City, Oklahoma on file for Red Rock Behavioral Health Services alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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