Oasis Mental Health PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OASIS MENTAL HEALTH PC

Practice address

331 Goodpasture Island Rd
Eugene, OR 97401-2109

Phone

(541) 636-9846

Fax

(541) 636-9847

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Kelly D Henry, PMHNPNPI 1457657793

Title

President

Phone

(541) 636-9846

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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.

• Kelly Diane Henry, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1457657793
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691193600000",
    "number": "1578000600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 GOODPASTURE ISLAND RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012109",
            "telephone_number": "541-636-9846",
            "fax_number": "541-636-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 GOODPASTURE ISLAND RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012109",
            "telephone_number": "541-636-9846",
            "fax_number": "541-636-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS MENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2023-08-05",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-636-9846",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500644984",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oak & Pine Family Group (Beltone Hearing Center)
• Oak Street Medical
• Oak Street Medical P.C. (Oregon Allergy Associates)
• Jodi Denise Oakerson
• Oakmont Kids Pediatric Dentistry PC (Oakmont Kids Pediatric Dentistry)
• Shelby L Oberg
• Oria Gynnette Oberholtzer
• Zoza Oberle
• Eugene A Obersinner, L.C.S.W.
• Jo Ann Obie-Eldredge, RDH

• Psychiatric/Mental Health Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.