Dejuan T Singletary, LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD26253 Issued in OR

Legal business name

DEJUAN T SINGLETARY, LLC

Practice address

2100 NE Wyatt CT
Ste 202
Bend, OR 97701-7702

Phone

(541) 382-1395

Fax

(541) 382-6576

NPI assigned

Oct 18, 2006

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dejuan Singletary, MD

Title

Owner

Phone

(541) 382-1395

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1114008687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 NE SANDY BLVD",
            "address_2": "PMB 375",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "503-284-8841",
            "fax_number": "503-282-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE WYATT CT",
            "address_2": "STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017702",
            "telephone_number": "541-382-1395",
            "fax_number": "541-382-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJUAN T SINGLETARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "SINGLETARY",
        "authorized_official_first_name": "DEJUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-382-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD26253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Defeo, M.A.
• Kailee Defoe
• Kelly D Degoede, CRM
• Sean Deichmann
• Mark David Dejohn, L.M.T., A.R.T.
• Teresa Scott Del Prete, QMHA, CADC, PSS
• Renee Del Rio, PSY.D.
• Joanna Delacy, PT, DPT, NCS
• Danielle Delamarter
• Jody Deland, LMT, CCT

• Child & Adolescent Psychiatry Physician in Bend, OR
• Providers in Bend, OR by specialty
• Child & Adolescent Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.