Organization Active NPI

Deep Insight PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1710763123
Registry record updated May 1, 2025
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
16100 NW Cornell Rd Ste 170
Beaverton, OR 97006-7361
Phone
(971) 430-2335
Fax
(888) 850-5616
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Jill Ann Carter
Title
Clinical Director
Phone
(360) 601-8552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

16100 NW Cornell Rd Ste 170
Beaverton, OR 97006-7361

Mailing address

6400 SE Lake Rd Ste 135
Portland, OR 97222-2189
Phone (888) 830-6088

National Provider Directory

National Provider Directory

Locations

16100 NW Cornell Rd
Ste 170
Beaverton, OR 97006
Phone (971) 405-9545

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": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1710763123",
    "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": "16100 NW CORNELL RD STE 170",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067361",
            "telephone_number": "971-430-2335",
            "fax_number": "888-850-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP INSIGHT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "360-601-8552"
    },
    "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 Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.