Countryside Psychiatry, PLLC
Countryside Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Vinita, Oklahoma. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
411 1/2 N Wilson StVinita, OK 74301
Phone: (539) 937-1715
Fax: (539) 937-1735
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1457142895 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Pooler — Owner · (539) 937-1715 |
| NPI enumerated | May 15, 2025 |
| Last updated in NPPES | June 13, 2025 |
| Certification date | May 28, 2025 |
| Mailing address | 411 1/2 N Wilson St, Vinita, OK 74301 |
Other providers in Vinita
-
Tabitha Brewer, APRN
405 E Excelsior Ave, Vinita, OK 74301-4226 · (844) 458-2100
-
Mr. Jonathan W Pooler, APRN-CNP, PMHNP-BC
411 1/2 N Wilson St, Vinita, OK 74301 · (539) 937-1715