Active NPI
Deep Insight PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DEEP INSIGHT PLLC
- Practice address
- 2255 NW Shevlin Park Rd Ste 120
Bend, OR 97703-7134 - Phone
- (541) 241-2509
- Fax
- (888) 850-5616
- NPI assigned
- Oct 4, 2023
- Last updated
- May 1, 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
- Jill Ann Carter
- Title
- Clinical Director
- Phone
- (360) 601-8552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2255 NW Shevlin Park Rd Ste 120
Bend, OR 97703-7134
Mailing address
6400 SE Lake Rd Ste 135
Portland, OR 97222-2189
Phone (971) 358-9292
National Provider Directory
National Provider DirectoryLocations
8285 W Arby Ave
Ste 200B
Las Vegas, NV 89113
Phone (702) 350-1110
2255 NW Shevlin Park Rd
Ste 120
Bend, OR 97703
Phone (541) 241-2509
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1700211513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1285414425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SE LAKE RD STE 135",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972222189",
"telephone_number": "971-358-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 NW SHEVLIN PARK RD STE 120",
"city": "BEND",
"state": "OR",
"postal_code": "977037134",
"telephone_number": "541-241-2509",
"fax_number": "888-850-5616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEEP INSIGHT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-04",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "360-601-8552"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-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 May 1, 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.