Justin Bethoney NP Integrative Psychiatric Nursing, Inc.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JUSTIN BETHONEY NP INTEGRATIVE PSYCHIATRIC NURSING, INC.

Practice address

243 Scalehouse Loop Ste 4
Bend, OR 97702-1276

Phone

(458) 206-6251

Fax

(224) 215-3993

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Justin Bethoney, NPNPI 1396051637

Title

Ceo, Nurse Practioner

Phone

(310) 920-1677

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Nicholas Bethoney, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1396051637
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1649916677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19528 SAGER LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029810",
            "telephone_number": "310-920-1677",
            "fax_number": "224-215-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 SCALEHOUSE LOOP STE 4",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021276",
            "telephone_number": "458-206-6251",
            "fax_number": "224-215-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN BETHONEY NP INTEGRATIVE PSYCHIATRIC NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "BETHONEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO, NURSE PRACTIONER",
        "authorized_official_telephone_number": "310-920-1677",
        "authorized_official_credential": "NP"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.