PRECISION MENTAL PERFORMANCE LLC NPI 1881348647

NPI Information

NPI: 1881348647
Provider Name: PRECISION MENTAL PERFORMANCE LLC

Doing Business As: NEUSTART PSYCHIATRY

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
550 NW FRANKLIN AVE STE 268
BEND, OR
ZIP 97703
Phone: (503) 379-1902
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PRECISION MENTAL PERFORMANCE LLC is a psychiatric/mental health nurse practitioner in Bend, OR. PRECISION MENTAL PERFORMANCE LLC NPI is 1881348647. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Neustart Psychiatry.

The provider's business location address is:

550 NW FRANKLIN AVE STE 268
BEND, OR
ZIP 97703-894
Phone: (503) 379-1902

The provider's authorized official is Lawrence K Robbins .
The authorized official title is General Manager and has the following contact phone number (503) 379-1902.

The enumeration date for this NPI number is 2/9/2022 and was last updated on 9/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103T00000X	Psychologist		No
3	1041C0700X	Social Worker	Clinical	No
4	106H00000X	Marriage & Family Therapist		No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500754977	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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