Oasis Group, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00308900 Issued in NJ

Legal business name

OASIS GROUP, LLC

Practice address

3640 Valley Rd
Liberty Corner, NJ 07938

Phone

(908) 484-7354

Fax

(973) 912-9050

NPI assigned

Jun 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Linda T Mack, PSY DNPI 1063523041

Title

Director

Phone

(908) 484-7354

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Terry Mack, PSY.D.

  • Clinical Psychologist
  • Hackensack, NJ
  • NPI 1063523041
  Medicare reassignment NPD Authorized official
• Chelsea Davis, LCSW

  • Clinical Social Worker
  • Liberty Corner, NJ
  • NPI 1821338120
  NPD (past)
• Stephanie Kain, LPC

  • Professional Counselor
  • Denville, NJ
  • NPI 1265990790
  NPD (past)
• Kaitlin Najjar, MA, LPC

  • Professional Counselor
  • Liberty Corner, NJ
  • NPI 1689125809
  NPD (past)
• Lisa Ann Volante, LPC

  • Mental Health Counselor
  • Liberty Corner, NJ
  • NPI 1245846773
  NPD (past)

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1710298450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "address_2": "3640 VALLEY RD",
            "city": "LIBERTY CORNER",
            "state": "NJ",
            "postal_code": "079380132",
            "telephone_number": "908-484-7354",
            "fax_number": "973-912-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 VALLEY RD",
            "city": "LIBERTY CORNER",
            "state": "NJ",
            "postal_code": "07938",
            "telephone_number": "908-484-7354",
            "fax_number": "973-912-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-484-7354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00308900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Davis, LCSW
• Margaret Doherty Delong, PSY.D.
• Mary-Elizabeth Eleanor Fuentes, LPC. LCADC, NCC
• Vincent Lasorsa, D.C.
• Kaitlin Najjar, MA, LPC
• Sonia Andree Petite, RN
• William Killoran Pinson-Rose
• Lisa Ann Volante, LPC

• Clinical Psychologist in Liberty Corner, NJ
• Providers in Liberty Corner, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.