Organization Active NPI

I. Keith Orton, PHD

  • Clinical Psychologist
  • Bend, OR
National Provider Identifier
1942845805
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
I. KEITH ORTON, PHD
Practice address
745 NW Mt Washington Dr Ste 301
Bend, OR 97703-1576
Phone
(541) 526-1461
Fax
(541) 678-5513
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Irving Keith Orton, PHDNPI 1043441389
Title
Psychologist
Phone
(541) 526-1461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

745 NW Mt Washington Dr Ste 301
Bend, OR 97703-1576

Mailing address

745 NW Mt Washington Dr Ste 301
Bend, OR 97703-1576
Phone (541) 526-1461

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ikortonphd@bendbroadband.com Direct

National Provider Directory

National Provider Directory

Locations

745 NW Mt Washington Dr
Ste 301
Bend, OR 97703
Phone (541) 408-5609

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1942845805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR STE 301",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031576",
            "telephone_number": "541-526-1461",
            "fax_number": "541-678-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NW MT WASHINGTON DR STE 301",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031576",
            "telephone_number": "541-526-1461",
            "fax_number": "541-678-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. KEITH ORTON, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "ORTON",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "541-526-1461",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ikortonphd@bendbroadband.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "745 NW Mt Washington Dr Ste 301",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977031576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 10, 2019; 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.