NPIMap

Organization Active NPI

Deep Insight PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
National Provider Identifier
1316723711
Registry record updated Oct 2, 2023
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
(888) 830-6088
Fax
(888) 850-5616
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Amy Moore
Title
Regional Contracting Director
Phone
(503) 819-6585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE 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 (888) 830-6088

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1316723711",
    "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": "888-830-6088",
            "fax_number": "888-850-5616"
        },
        {
            "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": "888-830-6088",
            "fax_number": "888-850-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP INSIGHT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "REGIONAL CONTRACTING DIRECTOR",
        "authorized_official_telephone_number": "503-819-6585"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE 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 Oct 2, 2023; 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.