Jeremy Marvin Oats, MD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

1712 Ashmun St
Sault Sainte Marie, MI 49783-2805

Phone

(906) 230-8439

NPI assigned

Oct 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jeremy Mavin Oats Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1629793138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832805",
            "telephone_number": "906-203-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832805",
            "telephone_number": "906-230-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATS",
        "first_name": "JEREMY",
        "middle_name": "MARVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMY",
            "last_name": "OATS",
            "middle_name": "MAVIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northern Transitions, Inc.
• Emily Susan O'Connor, NP-BC
• Timothy Edward O'Connor, M.D.
• Stacey O'Neill
• Maureen Joanne O'Shea, N.P.
• Steven Roy Obreiter, D.D.S.
• John Patrick Ockenfels, D.O.
• Kelci Oeftger
• Jennifer Olmstead, LMSW
• Martha Chandanais Olmstead

• Cognitive & Behavioral Psychologist in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.