Mind Oasis Psychiatry, a Professional Nursing Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND OASIS PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION

Practice address

60 W Main Ave Ste 11a
Morgan Hill, CA 95037-4553

Phone

(408) 484-7012

NPI assigned

Nov 12, 2018

Last updated

Nov 12, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolain S Peregrino, PMHNP-BCNPI 1740639301

Title

Ceo

Phone

(408) 484-7012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolain Suzuki Peregrino

  • Psychiatric/Mental Health Nurse Practitioner
  • Campbell, CA
  • NPI 1740639301
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1023586716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W MAIN AVE STE 11A",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374553",
            "telephone_number": "408-484-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W MAIN AVE STE 11A",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374553",
            "telephone_number": "408-484-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OASIS PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "PEREGRINO",
        "authorized_official_first_name": "CAROLAIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-484-7012",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740639301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Leann Mendoza, CMT
• Fanja Mercier
• Matthew Miao
• Paul David Michaels, M.D.
• Jeffrey S Miller, DDS
• Minds-Autism Services
• Minh Dang Dental Corporation (South Valley Dental)
• Jennifer Michelle Miranda, FNP
• Yashmi Mistry
• Vanessa Rose Mitchell, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.