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COUNTRYSIDE PSYCHIATRY, PLLC
NPI 1457142895
Nurse Practitioner - Psychiatric/Mental Health in Vinita, OK

Active since May 15, 2025
411 1/2 N WILSON ST, VINITA, OK 74301(539) 937-1715(539) 937-1735 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2025, May 15, 2025 (2 updates tracked since 2025).

About Countryside Psychiatry, Pllc NPPES

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

COUNTRYSIDE PSYCHIATRY, PLLC (NPI 1457142895) is a healthcare organization registered as a psychiatric/mental health in Vinita, Oklahoma and active in the NPI registry since May 2025. The organization lists Jonathan W Pooler, Owner, as its authorized official.

NPPES Registry Identity

NPI1457142895
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOUNTRYSIDE PSYCHIATRY, PLLC
Location Address411 1/2 N WILSON STVinita, OK 74301
Mailing Address411 1/2 N Wilson StVinita, OK 74301 · (539) 937-1715 · Fax (539) 937-1735
Phone(539) 937-1715
Fax(539) 937-1735
Organization SubpartNo
Authorized OfficialJonathan W PoolerOwner · (539) 937-1715
Enumeration DateMay 15, 2025
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1457142895 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
411 1/2 N WILSON ST, Vinita, OK 74301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JONATHAN W POOLER APRN-CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
411 1/2 N WILSON ST
VINITA, OK 74301
Craig County (539) 937-1715

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 Countryside Psychiatry, PLLC's NPI number?

The NPI number for Countryside Psychiatry, PLLC is 1457142895. It was assigned to this organization in the NPPES registry on May 15, 2025.

Where is Countryside Psychiatry, PLLC located?

Countryside Psychiatry, PLLC is located at 411 1/2 N Wilson St, Vinita, OK 74301. The listed phone number is (539) 937-1715.

What is Countryside Psychiatry, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Countryside Psychiatry, PLLC was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.