Active NPI
Young Minds Psychiarty LLC
- Psychiatric/Mental Health Nurse Practitioner
- Bend, OR
National Provider Identifier
1043015258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- YOUNG MINDS PSYCHIARTY LLC
- Practice address
- 1011 SW Emkay Dr Ste 101
Bend, OR 97702-3162 - Phone
- (541) 941-5644
- NPI assigned
- Feb 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Rae Hartsell, PMHNP
- Title
- Owner
- Phone
- (541) 941-5644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1011 SW Emkay Dr Ste 101
Bend, OR 97702-3162
Mailing address
668 NE Vail LN
Bend, OR 97701-3933
Phone (541) 941-5644
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bend, OR
- NPI 1235874462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1043015258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 NE VAIL LN",
"city": "BEND",
"state": "OR",
"postal_code": "977013933",
"telephone_number": "541-941-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 SW EMKAY DR STE 101",
"city": "BEND",
"state": "OR",
"postal_code": "977023162",
"telephone_number": "541-941-5644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG MINDS PSYCHIARTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "HARTSELL",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-941-5644",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.