Organization Active NPI

Deep Insight PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1285414425
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Jill Ann CarterNPI 1700211513
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.