Organization Active NPI

Riverwise Mental Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Medford, OR
National Provider Identifier
1396520532
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RIVERWISE MENTAL HEALTH, LLC
Practice address
1100 E Main St Ste 203
Medford, OR 97504-7435
Phone
(541) 414-4787
Fax
(541) 787-6203
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Julie Newman, DNPNPI 1952813610
Title
Pmhnp
Phone
(541) 301-5661

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

1100 E Main St Ste 203
Medford, OR 97504-7435

Mailing address

1100 E Main St Ste 203
Medford, OR 97504-7435
Phone (541) 414-4787

Other practice location 1

1105 Siskiyou Blvd Ste B
Ashland, OR 97520-2238
Phone (541) 414-4787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260605001374 OR Part B Supplier - Clinic/Group Practice 0244706034 Receives reassigned benefits from 2 practitioners
Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

1105 Siskiyou Blvd
Ste B
Ashland, OR 97520
Phone (541) 414-4787

1744 E McAndrews Rd
Ste B
Medford, OR 97504
Phone (541) 654-1776

1100 E Main St
Ste 203
Medford, OR 97504
Phone (541) 414-4787

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": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1396520532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E MAIN ST STE 203",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047435",
            "telephone_number": "541-414-4787",
            "fax_number": "541-787-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MAIN ST STE 203",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047435",
            "telephone_number": "541-414-4787",
            "fax_number": "541-787-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Siskiyou Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975202238",
            "country_code": "US",
            "telephone_number": "541-414-4787",
            "fax_number": "541-787-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERWISE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "541-301-5661",
        "authorized_official_credential": "DNP"
    },
    "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 Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.