Irving Keith Orton, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

490 Issued in OR

Practice address

745 NW Mt Washington Dr
Suite 303
Bend, OR 97701-1574

Phone

(541) 526-1461

Fax

(541) 318-4883

NPI assigned

Aug 4, 2009

Last updated

Aug 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• I. Keith Orton Professional name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• I. Keith Orton, PHD

  • Clinical Psychologist
  • Bend, OR
  • NPI 1942845805
  NPD Authorized official
• William Trueblood PC

  • Clinical Neuropsychologist
  • Bend, OR
  • NPI 1467752303
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1043441389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR",
            "address_2": "SUITE 303",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011574",
            "telephone_number": "541-526-1461",
            "fax_number": "541-318-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR",
            "address_2": "SUITE 303",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011574",
            "telephone_number": "541-526-1461",
            "fax_number": "541-318-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTON",
        "first_name": "IRVING",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "490",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "I.",
            "last_name": "ORTON",
            "middle_name": "KEITH",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Orr, RPH
• Ortc, LLC (Bend Treatment Center)
• Ortc, LLC
• John R Orth, PA-C
• Beth Ann Orton, PA-C
• Pam Orton
• Eric Thomas Ory, M.D
• Justin Clay Osborn
• Nathan Forrest Osborn, M.D.
• Casey A Osborne-Rodhouse, PA

• Clinical Psychologist in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.