Active NPI
Deep Insight PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1770357964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryNPI 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.