NPIMap

Organization Active NPI

NVW Newco, LLC

Doing business as New Vision Wilderness

  • Psychiatric Residential Treatment Facility
  • Bend, OR
National Provider Identifier
1699161745
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
0222 Issued in OR
Legal business name
NVW NEWCO, LLC
Doing business as
New Vision Wilderness
Practice address
160 Scalehouse Loop
Suite 160
Bend, OR 97702-1284
Phone
(541) 312-4316
Fax
(541) 312-4350
NPI assigned
Apr 15, 2015
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Sharnell Spencer
Title
Credentialing Manager
Phone
(661) 239-6923

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 0222 OR
Psychiatric Residential Treatment Facility 323P00000X 0222 OR Primary

Addresses

Primary practice location

160 Scalehouse Loop
Suite 160
Bend, OR 97702-1284

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Phone (661) 622-4132

Other names 2

  • New Vision Wilderness Doing business as
  • Deschutes Wilderness Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
NVW Newco LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 SW Scalehouse Loop
Ste 160
Bend, OR 97702
Phone (541) 312-4316

1350 14th Ave
Ste 6
Grafton, WI 53024
Phone (262) 780-1780

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1699161745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 410",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094631",
            "telephone_number": "661-622-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SCALEHOUSE LOOP",
            "address_2": "SUITE 160",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021284",
            "telephone_number": "541-312-4316",
            "fax_number": "541-312-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NVW NEWCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SHARNELL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "661-239-6923"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "0222",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "OR",
            "license": "0222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vision Wilderness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deschutes Wilderness Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 14, 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.