Organization Active NPI

Deep Insight PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1770357964
Registry record updated Dec 4, 2023
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
330 E Mill Plain Blvd Ste 401
Vancouver, WA 98660-2896
Phone
(888) 830-6088
Fax
(888) 850-5616
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Amy Dawn Moore
Title
Regional Contracting Director
Phone
(971) 430-2335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

330 E Mill Plain Blvd Ste 401
Vancouver, WA 98660-2896

Mailing address

6400 SE Lake Rd Ste 430
Portland, OR 97222-2129
Phone (503) 819-6585

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1770357964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 430",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222129",
            "telephone_number": "503-819-6585",
            "fax_number": "503-917-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E MILL PLAIN BLVD STE 401",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602896",
            "telephone_number": "888-830-6088",
            "fax_number": "888-850-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP INSIGHT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "REGIONAL CONTRACTING DIRECTOR",
        "authorized_official_telephone_number": "971-430-2335"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.