NPIMap

Organization Active NPI

Evoke

  • Mental Illness Community Based Residential Treatment Facility
  • Bend, OR
National Provider Identifier
1144677345
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
C4041 Issued in OR
Legal business name
EVOKE
Practice address
20332 Empire Ave
Suite F-7
Bend, OR 97703-5712
Phone
(541) 382-1620
Fax
(541) 382-1817
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Dr. John Huffing, P.H.D
Title
Clinical Director
Phone
(541) 382-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X C4041 OR Primary

Addresses

Primary practice location

20332 Empire Ave
Suite F-7
Bend, OR 97703-5712

Mailing address

20332 Empire Ave
Suite F-7
Bend, OR 97703-5712
Phone (541) 382-1620

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1144677345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20332 EMPIRE AVE",
            "address_2": "SUITE F-7",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035712",
            "telephone_number": "541-382-1620",
            "fax_number": "541-382-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20332 EMPIRE AVE",
            "address_2": "SUITE F-7",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035712",
            "telephone_number": "541-382-1620",
            "fax_number": "541-382-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "HUFFING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "541-382-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.H.D"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "C4041",
            "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 May 17, 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.