MINDHEALTH PSYCHIATRY LLC
NPI 1144193699
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Q: What is Mindhealth Psychiatry LLC's NPI number?

The NPI number for Mindhealth Psychiatry LLC is 1144193699. It was assigned to this organization in the NPPES registry on September 29, 2025. The provider is doing business as MindHealth Psychiatry.

Q: What is Mindhealth Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 29, 2025

401 RATCLIFF DR SE STE 110, SALEM, OR 97302(541) 224-8110(800) 783-8942 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2026, Oct 9, 2025 (2 updates tracked since 2025).

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About Mindhealth Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDHEALTH PSYCHIATRY LLC (NPI 1144193699), doing business as Mindhealth Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Salem, Oregon and active in the NPI registry since September 2025. The organization maintains 2 additional practice locations and lists Lavena Mccullum, Owner, as its authorized official.

NPPES Registry Identity

NPI1144193699

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMINDHEALTH PSYCHIATRY LLC

Location Address401 RATCLIFF DR SE STE 110Salem, OR 97302-4576

Mailing Address710 E Foothills Dr Ste 104Newberg, OR 97132-6125 · (541) 224-8110 · Fax (800) 783-8942

Phone(541) 224-8110

Fax(800) 783-8942

Organization SubpartNo

Authorized OfficialLavena MccullumOwner · (541) 224-8110

Enumeration DateSeptember 29, 2025

Last NPPES UpdateApril 21, 20262 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1144193699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

401 RATCLIFF DR SE STE 110, Salem, OR 97302

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Other Names 1

Doing Business AsMindhealth Psychiatry

Secondary Practice Locations 2

Location 1710 E Foothills Dr Ste 104Newberg, OR 97132-6125 · Phone (541) 224-8110 · Fax (800) 783-8942

Location 24400 NE 77th Ave Ste 275Vancouver, WA 98662-6857 · Phone (541) 224-8110

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindhealth Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindhealth Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lavena Mccullum, APRN

Nurse Practitioner

NPI 1235628645

401 RATCLIFF DR SE STE 110
Salem, OR 97302

(541) 224-8110

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindhealth Psychiatry LLC's NPI number?

The NPI number for Mindhealth Psychiatry LLC is 1144193699. It was assigned to this organization in the NPPES registry on September 29, 2025. The provider is doing business as MindHealth Psychiatry.

Where is Mindhealth Psychiatry LLC located?

Mindhealth Psychiatry LLC is located at 401 Ratcliff Dr SE Ste 110, Salem, OR 97302. The listed phone number is (541) 224-8110.

What is Mindhealth Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mindhealth Psychiatry LLC enrolled in Medicare?

Yes. Mindhealth Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindhealth Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindhealth Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mindhealth Psychiatry LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mindhealth Psychiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindhealth Psychiatry LLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.