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 provides Clinical Psychologist services 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 Not confirmed with CMS for 17 years — call before visiting
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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