Provider Demographics
NPI:1992460083
Name:BEND HEALTH PSYCHIATRIC SERVICES PC
Entity type:Organization
Organization Name:BEND HEALTH PSYCHIATRIC SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:DRUMMOND
Authorized Official - Last Name:ROOTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-250-9737
Mailing Address - Street 1:2640 WHITE OAK CIR STE C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-4809
Mailing Address - Country:US
Mailing Address - Phone:800-516-0975
Mailing Address - Fax:
Practice Address - Street 1:821 E WASHINGTON AVE FL 2
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-4647
Practice Address - Country:US
Practice Address - Phone:800-516-0975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEND HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-03
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty