1. Home
  2. Directory
  3. Oregon
  4. Bend
  5. Nurse Practitioner
  6. NPI Profile

OBSIDIAN PSYCHIATRY LLC
NPI 1164270336
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR

Active since May 10, 2024
2863 NW CROSSING DR STE 140, BEND, OR 97703(541) 876-5803 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, May 10, 2024 (2 updates tracked since 2024).

About Obsidian Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBSIDIAN PSYCHIATRY LLC (NPI 1164270336) is a healthcare organization registered as a psychiatric/mental health in Bend, Oregon and active in the NPI registry since May 2024. The organization lists Megan M Lewis, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1164270336
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameOBSIDIAN PSYCHIATRY LLC
Location Address2863 NW CROSSING DR STE 140Bend, OR 97703-7189
Mailing Address2863 Nw Crossing Dr Ste 140Bend, OR 97703-7189 · (541) 876-5803
Phone(541) 876-5803
Organization SubpartNo
Authorized OfficialMegan M LewisOwner/operator · (808) 345-7880
Enumeration DateMay 10, 2024
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1164270336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2863 NW CROSSING DR STE 140, Bend, OR 97703
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN MARIE LEWIS APRN
Nurse Practitioner (Psychiatric/Mental Health)
2863 NW CROSSING DR STE 140
BEND, OR 97703
Deschutes County (541) 876-5803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obsidian Psychiatry LLC's NPI number?

The NPI number for Obsidian Psychiatry LLC is 1164270336. It was assigned to this organization in the NPPES registry on May 10, 2024.

Where is Obsidian Psychiatry LLC located?

Obsidian Psychiatry LLC is located at 2863 NW Crossing Dr Ste 140, Bend, OR 97703. The listed phone number is (541) 876-5803.

What is Obsidian Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Obsidian Psychiatry LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.