OrganizationActive
Envision Behavioral Health PLLC
NPI 1689165508 · Psychiatry Physician · Clemmons, NC
Envision Behavioral Health PLLC is a Psychiatry Physician organization in Clemmons, NC (NPI 1689165508).
Provider details
- NPI number
- 1689165508
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Derreberry, Managing Member(304) 617-4337
- License
- 2016-01870 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2554 Lewisville Clemmons Rd Ste 207
Clemmons, NC 27012-9752
Phone: (304) 617-4337
Fax: (339) 207-0143
Street-level locationGet directions
Mailing address
100 Stadium Oaks Dr Ste B
Clemmons, NC 27012-8961
Registry dates
- Enumerated
- 2018-05-25
- Last updated
- 2020-06-10
- Certified
- 2020-06-10
Frequently asked questions
- What is Envision Behavioral Health PLLC's NPI number?
- Envision Behavioral Health PLLC's National Provider Identifier (NPI) is 1689165508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Envision Behavioral Health PLLC?
- Envision Behavioral Health PLLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Envision Behavioral Health PLLC located?
- Envision Behavioral Health PLLC's practice location on file with NPPES is 2554 Lewisville Clemmons Rd Ste 207, Clemmons, NC 27012-9752.
- What is Envision Behavioral Health PLLC's phone number?
- The practice phone number listed in the NPPES registry for Envision Behavioral Health PLLC is (304) 617-4337.
- Who is the authorized official for Envision Behavioral Health PLLC?
- The authorized official listed on Envision Behavioral Health PLLC's NPPES record is Jessica Derreberry, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Envision Behavioral Health PLLC's NPI active?
- Yes — Envision Behavioral Health PLLC's NPI (1689165508) is active in the NPPES registry as of the last update on 2020-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.