NPIMap

Organization Active NPI

J Bar J Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bend, OR
National Provider Identifier
1114357308
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
J BAR J YOUTH SERVICES
Practice address
62895 Hamby Rd
Bend, OR 97701-9575
Phone
(541) 389-1409
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Ms. Betsy Warren
Title
Program Manager - Academy
Phone
(541) 389-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X OR Primary

Addresses

Primary practice location

62895 Hamby Rd
Bend, OR 97701-9575

Mailing address

62895 Hamby Rd
Bend, OR 97701-9575
Phone (541) 389-1409

National Provider Directory

National Provider Directory

Locations

62895 Hamby Rd
Bend, OR 97701
Phone (541) 389-1409

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1114357308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62895 HAMBY RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019575",
            "telephone_number": "541-389-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62895 HAMBY RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019575",
            "telephone_number": "541-389-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BAR J YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "PROGRAM MANAGER - ACADEMY",
        "authorized_official_telephone_number": "541-389-1409",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OR",
            "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 Oct 13, 2016; 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.