Organization Active NPI

Bubblegum and Duct Tape Wellness P C

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1629959150
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Dishina Singer, DNP, PMHNP-BCNPI 1033868344
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.