Active NPI
Beevor Psychiatry Services, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bemidji, MN
National Provider Identifier
1851990709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2024
- 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
- Julie Ann Beevor, CNP; PMHNP-BC
- Title
- Owner
- Phone
- (218) 368-8007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.