Active NPI
Healing Harbor Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Lincoln City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin S Fitzgerald, PMHNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lincoln City, OR
- NPI 1306217872
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1366830234
OR
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.