NPIMap

Organization Active NPI

Euhealth Psychiatry LLC

Doing business as Euhealth Psychiatry and Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1841914124
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EUHEALTH PSYCHIATRY LLC
Doing business as
Euhealth Psychiatry and Mental Wellness
Practice address
1880 Lancaster Dr NE Ste 110
Salem, OR 97305-1065
Phone
(503) 395-8614
Fax
(971) 231-0184
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Authorized official

Name
Ms. Abdoulie Jallow, PMHNPNPI 1720409394
Title
Ceo
Phone
(971) 226-6269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1880 Lancaster Dr NE Ste 110
Salem, OR 97305-1065

Mailing address

1880 Lancaster Dr NE Ste 110
Salem, OR 97305-1065
Phone (503) 395-8614

Other identifiers 1

IdentifierTypeStateIssuer
MCD-500796678MedicaidOR

Other names 1

  • EUHEALTH PSYCHIATRY AND MENTAL WELLNESS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230728000598 OR Part B Supplier - Clinic/Group Practice 7618338369 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Locations

1880 Lancaster Dr NE
Ste 110
Salem, OR 97305
Phone (503) 395-8614

222 Commercial St NE
Ste 503
Salem, OR 97301

222 Commercial St NE
Salem, OR 97301
Phone (503) 217-4484

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1841914124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051065",
            "telephone_number": "503-395-8614",
            "fax_number": "971-231-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DR NE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051065",
            "telephone_number": "503-395-8614",
            "fax_number": "971-231-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUHEALTH PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "JALLOW",
        "authorized_official_first_name": "ABDOULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-226-6269",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MCD-500796678",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EUHEALTH PSYCHIATRY AND MENTAL WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.