DEJUAN T SINGLETARY, LLC (NPI# 1114008687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114008687 |
| Entity Type | Organization |
| Organization Name | DEJUAN T SINGLETARY, LLC |
| Practice Address |
2100 Ne Wyatt Ct Ste 202 Bend OR 97701-7702 |
| Mailing Address |
3439 Ne Sandy Blvd Pmb 375 Portland OR 97232-1959 |
| Practice Telephone | 5413821395 |
| Practice Fax Number | 5413826576 |
| Mailing Telephone | 5032848841 |
| Mailing Fax Number | 5032823302 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | DR. DEJUAN SINGLETARY (OWNER) |
| Authorized Official Telephone | 5413821395 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD26253 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
2100 NE WYATT CT STE 202 |
| City | BEND |
| State | OR |
| Zip Code | 97701-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619271756 | St. Charles Health System, Inc. | Internal Medicine | 2100 Ne Wyatt Ct, Suite 103, Bend, OR 97701-7702 | 2011-01-04 |
| 1295974491 | St. Charles Health System, Inc. | Durable Medical Equipment & Medical Supplies | 2100 Ne Wyatt Ct, Suite 103, Bend, OR 97701-7702 | 2009-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023238698 | Elliot Morrison | Psychiatry & Neurology | 22025 Ne Butler Market Rd, Bend, OR 97701-9734 | 2007-04-26 |
| 1285852418 | Angelina Montoya | Psychiatry & Neurology | 63360 Britta St, Bldg 1, Bend, OR 97701 | 2007-04-23 |
| 1275809600 | Integral Psychiatry PC | Psychiatry & Neurology | 1345 Nw Wall St, Suite 200, Bend, OR 97701-1972 | 2012-03-29 |
| 1801940499 | Gurpreet Chopra | Psychiatry & Neurology | 1345 Nw Wall St, Suite #200, Bend, OR 97701-1972 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
| 1295113876 | Cortney Aleese Taylor | Psychiatry & Neurology | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR 97005-3035 | 2015-05-14 |
| 1831455211 | Nicholas Austin | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd Dept Of, Portland, OR 97239-3011 | 2012-04-10 |
| 1760773006 | Michelle Elizabeth Feldman | Psychiatry & Neurology | 3876 Beverly Ave Ne Bldg F, Salem, OR 97305-1319 | 2011-04-20 |
| 1235446303 | Ervin Gene Stubbs | Psychiatry & Neurology | 7032 Sw 3rd Ave, Portland, OR 97219-2214 | 2010-09-09 |
| 1851525620 | Sarah Morgan Schrauben | Psychiatry & Neurology | 870 Se 82nd Ave., Portland, OR 97027 | 2009-05-08 |
| 1528249620 | Thomas E Deblois | Psychiatry & Neurology | 133 Ne 8th St, Newport, OR 97365-3130 | 2007-11-16 |
| 1700077328 | Hanh Ngoc Nguyen | Psychiatry & Neurology | 5410 Sw Macadam Ave Ste 200, Portland, OR 97239 | 2007-08-08 |
| 1912116013 | John Barrows Chenoweth | Psychiatry & Neurology | 5410 S.w. Macadam Ave, Ste 200, Portland, OR 97239-3825 | 2007-05-22 |
| 1043340219 | Birgit Meyer | Psychiatry & Neurology | 3415 Se Powell Blvd., Portland, OR 97202 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.