OASIS CLINICAL CARE MANAGER, LLC
NPI 1619105988
Psychologist - Clinical in Charlotte, NC

Active since June 25, 2009
6101 IDLEWILD RD, CHARLOTTE, NC 28212(704) 536-8381 Get Directions Write a Review

NPPES record last updated: June 25, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oasis Clinical Care Manager, Llc NPPES

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

OASIS CLINICAL CARE MANAGER, LLC (NPI 1619105988) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since June 2009. The organization lists Theodus Roach, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619105988
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameOASIS CLINICAL CARE MANAGER, LLC
Location Address6101 IDLEWILD RDCharlotte, NC 28212-0517
Mailing Address6101 Idlewild RdCharlotte, NC 28212-0517 · (704) 536-8381
Organization SubpartNo
Authorized OfficialTheodus RoachExecutive Director · (704) 604-1437
Enumeration DateJune 25, 2009
NPI 1619105988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NC · 3676
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C005215 (NC), C006053 (NC), C005319 (NC), P002725 (NC)
6101 IDLEWILD RD, Charlotte, NC 28212

Other Identifiers 6

Medicare PINF62682NC
Medicaid89133JFNC
Medicaid6106359NC
Medicaid6106363NC
Medicaid2011974NC
Medicaid6107588NC

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

Other Providers at the Same Location NPPES 8

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

General Practice
6101 IDLEWILD RD, SUITE 300
CHARLOTTE, NC 28212
Nurse Practitioner (Family)
6101 IDLEWILD RD, SUITE 315
CHARLOTTE, NC 28212
Home Health
6101 IDLEWILD RD, 324
CHARLOTTE, NC 28212
Social Worker (Clinical)
6101 IDLEWILD RD, SUITE 100
CHARLOTTE, NC 28212
Community/Behavioral Health
6101 IDLEWILD RD, SUITE 127
CHARLOTTE, NC 28212
Chiropractor
6101 IDLEWILD RD, SUITE 328
CHARLOTTE, NC 28212
Chiropractor
6101 IDLEWILD RD, SUITE 328
CHARLOTTE, NC 28212
Family Medicine
6101 IDLEWILD RD, SUITE 300
CHARLOTTE, NC 28212

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 Oasis Clinical Care Manager, LLC's NPI number?

The NPI number for Oasis Clinical Care Manager, LLC is 1619105988. It was assigned to this organization in the NPPES registry on June 25, 2009.

Where is Oasis Clinical Care Manager, LLC located?

Oasis Clinical Care Manager, LLC is located at 6101 Idlewild Rd, Charlotte, NC 28212. The listed phone number is (704) 536-8381.

What is Oasis Clinical Care Manager, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Oasis Clinical Care Manager, LLC was last updated on June 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.