Spring River Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SPRING RIVER PSYCHOLOGICAL SERVICES, LLC

Practice address

745 NW Mt Washington Dr Ste 308
Bend, OR 97703-1576

Phone

(541) 740-7175

NPI assigned

Nov 7, 2023

Last updated

Jan 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Matthew Safford, PHDNPI 1750447389

Title

Owner

Phone

(541) 205-9750

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Scott Matthew Safford, PHD

  • Clinical Psychologist
  • Bend, OR
  • NPI 1750447389
  NPD Authorized official

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1821862178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 NW IOWA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031010",
            "telephone_number": "541-740-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR STE 308",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031576",
            "telephone_number": "541-740-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING RIVER PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "SAFFORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-205-9750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle J Spetic, RN
• Thomas M Spoonster, D.D.S.
• Joshua Sprague
• Jeremiah Glen Spray
• Nicole Spreadborough
• Diana Spring, DPT
• Erica Carol Spring, LPC
• Lesley Srikantaiah
• St. Charles Health System
• St. Charles Health System, Inc. (St. Charles Medical Supply - Bend)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.