BRIGHT MIND LLC (NPI# 1588200091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588200091 |
| Entity Type | Organization |
| Organization Name | BRIGHT MIND LLC |
| Practice Address |
151 Sw Shevlin Hixon Dr Bend OR 97702-3209 |
| Mailing Address |
121 Nw Bond St Bend OR 97703-3207 |
| Practice Telephone | 5417173033 |
| Mailing Telephone | 2062258780 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | AMY KREUTZER ERBER (NURSE PRACTITIONER OWNER, PRESIDENT) |
| Authorized Official Telephone | 5417173033 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI- TODD BOIRE | 1235449463 | 01 |
| WA | NPI - AMY ERBER | 1558689836 | 01 |
| Other Name | Type Code |
|---|---|
| Bright Mind TMS and Integrative Psychiatry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRIGHT MIND LLC | 151 Sw Shevlin Hixon Ste 2, Bend, OR 97702 |
| Street Address |
151 SW SHEVLIN HIXON DR |
| City | BEND |
| State | OR |
| Zip Code | 97702-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609132810 | Erin Pamela Sutton | Psychiatry & Neurology | 3247 Nw Fairway Heights Dr, Bend, OR 97703 | 2012-04-02 |
| 1497832018 | John Bellville | Psychiatry & Neurology | 920 Nw Bond St, Suite 204b, Bend, OR 97703-2762 | 2006-11-01 |
| 1760591507 | Monique Nebolon, Do, PC | Psychiatry & Neurology | 2755 Nw Crossing Dr, Ste 213, Bend, OR 97701-7050 | 2006-08-29 |
| 1922097807 | Donald Robert Anderson | Psychiatry & Neurology | 2115 Ne Wyatt Ct Ste 201, Bend, OR 97701-7680 | 2005-10-13 |
| 1861490963 | Magnus Lakovics | Psychiatry & Neurology | 1885 Ne Purcell Blvd, Bend, OR 97701-6022 | 2005-07-12 |
| 1558368514 | Ross Judice | Psychiatry & Neurology | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2005-07-06 |
| 1497750319 | Joseph A Barrett | Psychiatry & Neurology | 1345 Nw Wall St, Suite 200, Bend, OR 97701-1972 | 2005-06-16 |
| 1407210610 | Eric Ford | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-04-13 |
| 1033572573 | Brian Fulmer | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-04-01 |
| 1134526775 | New Focus, PC | Psychiatry & Neurology | 1345 Nw Wall St, Suite 200, Bend, OR 97701-1972 | 2014-11-25 |
| Find all providers in BEND | ||||
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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.