Organization Active NPI

Roylynn Underwood, Pmhnp, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Medford, OR
National Provider Identifier
1114752086
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ROYLYNN UNDERWOOD, PMHNP, LLC
Practice address
824 E Jackson St Ste a
Medford, OR 97504-6745
Phone
(458) 488-1001
Fax
(458) 488-1001
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Authorized official

Name
Roylynn Dolores Underwood, APRNNPI 1396580452
Title
Owner/Provider
Phone
(458) 488-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

824 E Jackson St Ste a
Medford, OR 97504-6745

Mailing address

824 E Jackson St Ste a
Medford, OR 97504-6745
Phone (458) 488-1000

Other practice location 1

7737 Old Stage Rd
Central Point, OR 97502-9717
Phone (503) 819-1064

Other names 2

  • MindFlow Mental Health Doing business as
  • None Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240925002980 OR Part B Supplier - Clinic/Group Practice 2961943345 Receives reassigned benefits from 1 practitioner
Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

824 E Jackson St
Ste A
Medford, OR 97504
Phone (458) 225-9225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763856000000",
    "number": "1114752086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E JACKSON ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046745",
            "telephone_number": "458-488-1000",
            "fax_number": "458-488-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E JACKSON ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046745",
            "telephone_number": "458-488-1001",
            "fax_number": "458-488-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7737 Old Stage Rd",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975029717",
            "country_code": "US",
            "telephone_number": "503-819-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROYLYNN UNDERWOOD, PMHNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "ROYLYNN",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "458-488-1000",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindFlow Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.