Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Oasis Clinical Care Manager, LLC

Organization Clinical Psychologist · NPI 1619105988

Oasis Clinical Care Manager, LLC is a Clinical Psychologist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6101 Idlewild Rd
Charlotte, NC 28212-0517
Phone: (704) 536-8381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3676 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C005215 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C006053 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C005319 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P002725 (NC)

Record details

NPI number1619105988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodus Roach — Executive Director · (704) 604-1437
NPI enumeratedJune 25, 2009
Last updated in NPPESJune 25, 2009
Mailing address6101 Idlewild Rd, Charlotte, NC 28212-0517

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