Active NPI
Albert Matthew Dickan
- Psychiatry Physician
- Vancouver, WA
National Provider Identifier
1003556887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 70131231
- Practice address
- 400 NE Mother Joseph PL
Vancouver, WA 98664-3200 - Phone
- (360) 514-3191
- Fax
- (360) 729-3372
- NPI assigned
- Mar 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TEP9317 | NE | |
| Psychiatry Physician | 2084P0800X | 70131231 | WA | Primary |
Addresses
Primary practice location
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Mailing address
7710 Mercy Rd Ste 202
Omaha, NE 68124-2353
Phone (402) 280-4195
Other practice location 1
8716 E Mill Plain Blvd
Vancouver, WA 98664-2531
Phone (360) 696-5300
Other practice location 2
7710 Mercy Rd Ste 202
Omaha, NE 68124-2353
Phone (402) 280-4195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220804001550 | NE | Order and Referring Only - Psychiatry | 7315329596 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Creighton University School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12914 NE 37TH St
Vancouver, WA 98682-7626
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEP9317 | NE | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1003556887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 MERCY RD STE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242353",
"telephone_number": "402-280-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NE MOTHER JOSEPH PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643200",
"telephone_number": "360-514-3191",
"fax_number": "360-729-3372"
}
],
"practiceLocations": [
{
"address_1": "8716 E Mill Plain Blvd",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986642531",
"country_code": "US",
"telephone_number": "360-696-5300",
"fax_number": "360-729-3372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7710 Mercy Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681242353",
"country_code": "US",
"telephone_number": "402-280-4195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKAN",
"first_name": "ALBERT",
"middle_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-30",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "TEP9317",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "70131231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.