Sunray Psychiatry and Mental Healthcare LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SUNRAY PSYCHIATRY AND MENTAL HEALTHCARE LLC

Practice address

216 Commercial St NE Ste 1905
Salem, OR 97301-3410

Phone

(971) 599-9139

Fax

(719) 283-7966

NPI assigned

May 13, 2024

Organization subpart

No

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

Authorized official

Name

Kennedy Ogbonna AnyanwuNPI 1013507276

Title

Owner

Phone

(971) 599-9139

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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

• Kennedy Ogbonna Anyanwu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1013507276
  Medicare reassignment NPD Authorized official
• Jubril Alade Adediran, PMHNP-BC, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1720645666

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1851140883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 COMMERCIAL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013410",
            "telephone_number": "971-599-9139",
            "fax_number": "719-283-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 COMMERCIAL ST NE STE 1905",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013410",
            "telephone_number": "971-599-9139",
            "fax_number": "719-283-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRAY PSYCHIATRY AND MENTAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_middle_name": "OGBONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-599-9139"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Briana D Surin-Torres

• Psychiatric/Mental Health Nurse Practitioner in Salem, OR
• Providers in Salem, 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 May 13, 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.