Active NPI
Mindhealth Psychiatry LLC
Doing business as MindHealth Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDHEALTH PSYCHIATRY LLC
- Doing business as
- MindHealth Psychiatry
- Practice address
- 401 Ratcliff Dr SE Ste 110
Salem, OR 97302-4576 - Phone
- (541) 224-8110
- Fax
- (800) 783-8942
- NPI assigned
- Sep 29, 2025
- Last updated
- Apr 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lavena McCullum, PMHNP-BC
- Title
- Owner
- Phone
- (541) 224-8110
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
401 Ratcliff Dr SE Ste 110
Salem, OR 97302-4576
Mailing address
710 E Foothills Dr Ste 104
Newberg, OR 97132-6125
Phone (541) 224-8110
Other practice location 1
710 E Foothills Dr Ste 104
Newberg, OR 97132-6125
Phone (541) 224-8110
Other practice location 2
4400 NE 77th Ave Ste 275
Vancouver, WA 98662-6857
Phone (541) 224-8110
Other names 1
- MindHealth Psychiatry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1865 Thompson Rd
Coos Bay, OR 97420
Phone (541) 267-7757
401 Ratcliff Dr SE
Ste 110
Salem, OR 97302
Phone (541) 224-8110
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Salem, OR
- NPI 1235628645
-
- Psychiatric/Mental Health Nurse Practitioner
- Salem, OR
- NPI 1215856968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1144193699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 E FOOTHILLS DR STE 104",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971326125",
"telephone_number": "541-224-8110",
"fax_number": "800-783-8942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 RATCLIFF DR SE STE 110",
"city": "SALEM",
"state": "OR",
"postal_code": "973024576",
"telephone_number": "541-224-8110",
"fax_number": "800-783-8942"
}
],
"practiceLocations": [
{
"address_1": "710 E Foothills Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971326125",
"country_code": "US",
"telephone_number": "541-224-8110",
"fax_number": "800-783-8942",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 NE 77th Ave Ste 275",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986626857",
"country_code": "US",
"telephone_number": "541-224-8110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MINDHEALTH PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "MCCULLUM",
"authorized_official_first_name": "LAVENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-224-8110",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MindHealth Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.