Organization Active NPI

Healing Harbor Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln City, OR
National Provider Identifier
1285452409
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALING HARBOR PSYCHIATRY
Practice address
820 SE Highway 101 Ste E2
Lincoln City, OR 97367-2773
Phone
(971) 465-9556
Fax
(888) 224-4514
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Erin S Fitzgerald, PMHNPNPI 1306217872
Title
Owner
Phone
(503) 869-3182

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

820 SE Highway 101 Ste E2
Lincoln City, OR 97367-2773

Mailing address

16909 Oakdale Rd
Dallas, OR 97338-9602
Phone (503) 869-3182

Other practice location 1

788 SE Highway 101
Lincoln City, OR 97367-2715
Phone (971) 465-9556

Other practice location 2

2600 NE Highway 101 Unit 105
Lincoln City, OR 97367-4464
Phone (971) 465-9556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251007002740 OR Part B Supplier - Clinic/Group Practice 2668979691 Receives reassigned benefits from 2 practitioners
Practice locations: Lincoln City, OR

National Provider Directory

National Provider Directory

Locations

788 SE Highway 101
Lincoln City, OR 97367
Phone (971) 465-9556

820 SE Highway 101
Ste E2
Lincoln City, OR 97367
Phone (971) 465-9556

Practitioners & affiliated clinicians

Practitioners 2

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": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1285452409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 OAKDALE RD",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389602",
            "telephone_number": "503-869-3182",
            "fax_number": "888-224-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SE HIGHWAY 101 STE E2",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672773",
            "telephone_number": "971-465-9556",
            "fax_number": "888-224-4514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "788 SE Highway 101",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973672715",
            "country_code": "US",
            "telephone_number": "971-465-9556",
            "fax_number": "888-224-4514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 NE Highway 101 Unit 105",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973674464",
            "country_code": "US",
            "telephone_number": "971-465-9556",
            "fax_number": "888-869-3182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HARBOR PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-869-3182",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.