Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Oasis Clinical Care Manager, LLC

Clinical Psychologist in Charlotte, NC · enumerated 2009 · authorized official Theodus Roach, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619105988

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Registry record

Entity type Organization (Type 2)

Legal business name Oasis Clinical Care Manager, LLC

Practice address 6101 Idlewild Rd, Charlotte, NC, 28212

Phone (704) 536-8381

Enumeration date Jun 25, 2009

Last updated in NPPES Jun 25, 2009

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 3676 (NC) Primary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C005215 (NC) Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C006053 (NC) Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C005319 (NC) Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License P002725 (NC) Secondary

Authorized official

Name Theodus Roach

Title Executive Director

Phone (704) 604-1437

Other identifiers

Identifier	Type	State	Issuer
6107588	Medicaid	NC	-
6106359	Medicaid	NC	-
2011974	Medicaid	NC	-
89133JF	Medicaid	NC	-
6106363	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Oasis Clinical Care Manager, LLC?

Oasis Clinical Care Manager, LLC is registered in NPPES as a Clinical Psychologist (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-25.