NPIMap

Organization Active NPI

Nibbus Combined Care Outpatient Services

Doing business as NiBBuS CombiNed Care Outpatient Clinic

  • Adult Mental Health Clinic/Center
  • Medford, OR
National Provider Identifier
1962288829
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NIBBUS COMBINED CARE OUTPATIENT SERVICES
Doing business as
NiBBuS CombiNed Care Outpatient Clinic
Practice address
1175 E Main St Ste 1B
Medford, OR 97504-7457
Phone
(458) 225-9990
NPI assigned
Sep 6, 2023
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NIBBUS COMBINED CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Brenda Lorean WatsonNPI 1275991788
Title
Founder/Executive Director
Phone
(458) 225-9993

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1175 E Main St Ste 1B
Medford, OR 97504-7457

Mailing address

1175 E Main St Ste 2F
Medford, OR 97504-7457
Phone (458) 225-9993

Other practice location 1

2240 Terrel Dr
Medford, OR 97501-8140
Phone (458) 226-5347

Other practice location 2

809 Amerman Dr
Phoenix, OR 97535-7729
Phone (458) 488-1253

Other practice location 3

1481 Kings Hwy
Medford, OR 97501-4010
Phone (458) 658-9643

Other practice location 4

1520 S Peach St
Medford, OR 97501-4051
Phone (458) 658-9386

Other practice location 5

3120 Centurion Cir
Medford, OR 97504-8363
Phone (458) 488-1250

Other practice location 6

805 Amerman Dr
Phoenix, OR 97535-7729
Phone (458) 291-1603

Other names 1

  • NiBBuS CombiNed Care Outpatient Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nibbus Combined Care Outpatient Services7 organizations share this tax ID, including this one
Part of
Nibbus Combined Care Outpatient Services

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1962288829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 E MAIN ST STE 2F",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047457",
            "telephone_number": "458-225-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E MAIN ST STE 1B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047457",
            "telephone_number": "458-225-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 Terrel Dr",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975018140",
            "country_code": "US",
            "telephone_number": "458-226-5347",
            "fax_number": "458-226-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 Amerman Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "OR",
            "postal_code": "975357729",
            "country_code": "US",
            "telephone_number": "458-488-1253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1481 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975014010",
            "country_code": "US",
            "telephone_number": "458-658-9643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 S Peach St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975014051",
            "country_code": "US",
            "telephone_number": "458-658-9386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3120 Centurion Cir",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048363",
            "country_code": "US",
            "telephone_number": "458-488-1250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Amerman Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "OR",
            "postal_code": "975357729",
            "country_code": "US",
            "telephone_number": "458-291-1603",
            "fax_number": "541-897-0106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIBBUS COMBINED CARE OUTPATIENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIBBUS COMBINED CARE LLC",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LOREAN",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "458-225-9993"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NiBBuS CombiNed Care Outpatient Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NiBBuS CombiNed Care Outpatient Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.