Organization Active NPI

Beevor Psychiatry Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bemidji, MN
National Provider Identifier
1851990709
Registry record updated Jul 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BEEVOR PSYCHIATRY SERVICES, INC.
Practice address
1002 Washington Ave S
Bemidji, MN 56601-3453
Phone
(218) 444-8090
Fax
(218) 333-9434
NPI assigned
Oct 21, 2020
Last updated
Jul 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2024

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

Authorized official

Name
Julie Ann Beevor, CNP; PMHNP-BC
Title
Owner
Phone
(218) 368-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1002 Washington Ave S
Bemidji, MN 56601-3453

Mailing address

1002 Washington Ave S
Bemidji, MN 56601-3453
Phone (218) 444-8090

National Provider Directory

National Provider Directory

Locations

1002 Washington Ave S
Bemidji, MN 56601
Phone (218) 262-6675

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721520000000",
    "number": "1851990709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 WASHINGTON AVE S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013453",
            "telephone_number": "218-444-8090",
            "fax_number": "218-333-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WASHINGTON AVE S",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013453",
            "telephone_number": "218-444-8090",
            "fax_number": "218-333-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEVOR PSYCHIATRY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A",
        "authorized_official_last_name": "BEEVOR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-368-8007",
        "authorized_official_credential": "CNP; PMHNP-BC"
    },
    "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": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.