Oak Tree Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OAK TREE PSYCHIATRY, LLC

Practice address

8775 Centre Park Dr # M613
Columbia, MD 21045-2177

Phone

(240) 444-6110

Fax

(888) 687-0848

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Zivago Bunting, DNP, APRN, PMHNP-BCNPI 1659093763

Title

Owner

Phone

(240) 444-6100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zivago Z Bunting, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
  • NPI 1659093763

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1467153536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 CENTRE PARK DR # M613",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452177",
            "telephone_number": "240-444-6110",
            "fax_number": "888-687-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 CENTRE PARK DR # M613",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452177",
            "telephone_number": "240-444-6110",
            "fax_number": "888-687-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "BUNTING",
        "authorized_official_first_name": "ZIVAGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-444-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "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": []
}

• Teri M Marie O'Neil, FAMILY NURSE PRACTIT
• Christine O'Neill
• Kathryn Marie Gower O'Reilly, CNM
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• Esther Oak, DMD
• Kyley A Oakley
• Oakstride Physical Therapy, LLC
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• Oasis Day Spa Inc.

• Psychiatric/Mental Health Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.