Active NPI
Path to Awareness PC
- Psychiatry Physician
- Bend, OR
National Provider Identifier
1811484603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD28568
- Legal business name
- PATH TO AWARENESS PC
- Practice address
- 2239 NE Doctors Dr Ste 110
Bend, OR 97701-7185 - Phone
- (541) 323-8705
- Fax
- (541) 323-8708
- NPI assigned
- Apr 17, 2018
- Last updated
- Apr 27, 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
- Faith Brown
- Title
- Practice Manager
- Phone
- (541) 323-8705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD28568 | OR | Primary |
Addresses
Primary practice location
2239 NE Doctors Dr Ste 110
Bend, OR 97701-7185
Mailing address
2239 NE Doctors Dr Ste 110
Bend, OR 97701-7185
Phone (541) 323-8705
Other practice location 1
809 E Jackson St
Medford, OR 97504-6713
Phone (541) 245-3614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2239 NE Doctors Dr
Ste 110
Bend, OR 97701
Phone (541) 245-3614
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Bend, OR
- NPI 1881729945
-
- Mental Health Counselor
- Grants Pass, OR
- NPI 1013276757
-
- Child & Adolescent Psychiatry Physician
- Hillsboro, OR
- NPI 1164598363
-
- Psychiatric/Mental Health Nurse Practitioner
- Medford, OR
- NPI 1134063779
-
- Surgery Physician
- Bend, OR
- NPI 1548245640
-
- Psychiatric/Mental Health Nurse Practitioner
- Medford, OR
- NPI 1659239838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1811484603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 NE DOCTORS DR STE 110",
"city": "BEND",
"state": "OR",
"postal_code": "977017185",
"telephone_number": "541-323-8705",
"fax_number": "541-323-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2239 NE DOCTORS DR STE 110",
"city": "BEND",
"state": "OR",
"postal_code": "977017185",
"telephone_number": "541-323-8705",
"fax_number": "541-323-8708"
}
],
"practiceLocations": [
{
"address_1": "809 E Jackson St",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975046713",
"country_code": "US",
"telephone_number": "541-245-3614",
"fax_number": "541-245-3549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PATH TO AWARENESS PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-17",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "FAITH",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "541-323-8705"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD28568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.