Active NPI
Bubblegum and Duct Tape Wellness P C
- Psychiatric/Mental Health Nurse Practitioner
- Hillsboro, OR
National Provider Identifier
1629959150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BUBBLEGUM AND DUCT TAPE WELLNESS P C
- Practice address
- 4660 NE Belknap CT
Hillsboro, OR 97124-6467 - Phone
- (844) 966-5349
- Fax
- (949) 703-8913
- NPI assigned
- Sep 10, 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
- Dishina Singer, DNP, PMHNP-BC
- Title
- Owner
- Phone
- (619) 886-4055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4660 NE Belknap CT
Hillsboro, OR 97124-6467
Mailing address
901 H St Ste 120
Sacramento, CA 95814-1817
Phone (844) 966-5349
National Provider Directory
National Provider DirectoryLocations
4660 NE Belknap Ct
Hillsboro, OR 97124
Phone (540) 908-0689
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sacramento, CA
- NPI 1033868344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1629959150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 H ST STE 120",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958141817",
"telephone_number": "844-966-5349",
"fax_number": "770-764-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 NE BELKNAP CT",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971246467",
"telephone_number": "844-966-5349",
"fax_number": "949-703-8913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUBBLEGUM AND DUCT TAPE WELLNESS P C",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-10",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "SINGER",
"authorized_official_first_name": "DISHINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-886-4055",
"authorized_official_credential": "DNP, PMHNP-BC"
},
"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 Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.