Proventus Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PROVENTUS PSYCHIATRY

Practice address

10121 SE Sunnyside Rd Ste 300-3474
Clackamas, OR 97015-5745

Phone

(971) 570-0299

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Channing Danae Flury, PMHNPNPI 1053806901

Title

Manager

Phone

(971) 570-0299

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Channing Danae Flury, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clackamas, OR
  • NPI 1053806901
  NPD Authorized official

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1710797378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 300-3474",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 300-3474",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155745",
            "telephone_number": "971-570-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVENTUS PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "FLURY",
        "authorized_official_first_name": "CHANNING",
        "authorized_official_middle_name": "DANAE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "971-570-0299",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Steven Prewitt, L.AC.
• Myles Prince, RN
• Kelly A Probst, DO
• Mark M Prochnau, MSN, CRNA
• Stephen Proctor
• Providence Health & Services - Oregon
• Providence Health & Services Oregon
• Providence Health & Services Oregon
• Bret A. Provost, O.D.
• Psychological Solutions Inc.

• Psychiatric/Mental Health Nurse Practitioner in Clackamas, OR
• Providers in Clackamas, 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 Mar 12, 2025; 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.