Melanie M Kabot-Sturos, PMHNP

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

201150137NP Issued in OR

Practice address

300 Crater Lake Ave Ste 201
Medford, OR 97504-6604

Phone

(541) 826-0899

Fax

(541) 826-2234

NPI assigned

May 2, 2011

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimal Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Shady Cove, OR
  • NPI 1003243296
  NPD (past) Authorized official

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1346531860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 S 6TH ST STE 217",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037112",
            "telephone_number": "541-668-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CRATER LAKE AVE STE 201",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046604",
            "telephone_number": "541-826-0899",
            "fax_number": "541-826-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABOT-STUROS",
        "first_name": "MELANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OR",
            "license": "200642237RN",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OR",
            "license": "201150137NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Jumping Eagle, CADC II
• Ruby June
• Tae Kyung Jung, DMD
• Ian Jeffrey Jungers, PHARMD
• Matthew Thomas Jurek, DPT, CSCS
• Anthony Kahaly, MSW, MPH
• Daniel Aaron Kahn, MD
• Daniel Albert Kahn, MD
• Karen Tresser Kahn, MD
• Katherine Sadzewicz Kahn, PA-C

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Medford, OR
• Providers in Medford, OR by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.