Oak St Healthcare LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

OAK ST HEALTHCARE LLC

Practice address

3201 E Oak St
Phoenix, AZ 85008

Phone

(952) 666-9915

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By 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

Silas Harris

Title

Owner

Phone

(952) 666-9915

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1164290326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 E OAK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 E OAK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008",
            "telephone_number": "952-666-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK ST HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SILAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-666-9915"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kay O'Toole, M.D.
• Lauren Mueller O'Toole, PT, DPT
• O&T Health and Wellness Center LLC
• Oak Medical LLC (Advanced Urgent Care)
• Oak Park Behavioral Health Services LLC
• Oak Street
• Raymond Carroll Oakes, MD
• Caitlin Oakey, MOT, OTR/L
• Angela Oakley, PMHNP
• Richard S. Oakley, M.D.

• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.