OrganizationActive
Countryside Psychiatry, PLLC
NPI 1457142895 · Psychiatric/Mental Health Nurse Practitioner · Vinita, OK
Provider details
- NPI number
- 1457142895
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jonathan Pooler, Owner(539) 937-1715
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
411 1/2 N Wilson St
Vinita, OK 74301
Phone: (539) 937-1715
Fax: (539) 937-1735
Street-level locationGet directions
Mailing address
411 1/2 N Wilson St
Vinita, OK 74301
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-06-13
- Certified
- 2025-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.