Individual provider Active NPI

Sherrie Danene Hickox, PH.D.

  • Clinical Psychologist
  • Gilmer, TX
National Provider Identifier
1073796033
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23450 Issued in TX
Practice address
377 PR 2014
Gilmer, TX 75645
Phone
(903) 968-4641
Fax
(903) 968-4927
NPI assigned
Dec 13, 2007
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3450 TX
Clinical Psychologist 103TC0700X 23450 TX Primary

Addresses

Primary practice location

377 PR 2014
Gilmer, TX 75645

Mailing address

341 County Road 2234
Daingerfield, TX 75638-5467
Phone (903) 790-1509

Other identifiers 1

IdentifierTypeStateIssuer
23450OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000888 TX Practitioner - Clinical Psychologist 9032179908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23450TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C Clinical CurrentSince Mar 21, 2016 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Locations

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1073796033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 COUNTY ROAD 2234",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756385467",
            "telephone_number": "903-790-1509",
            "fax_number": "903-968-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 PR 2014",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "75645",
            "telephone_number": "903-968-4641",
            "fax_number": "903-968-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKOX",
        "first_name": "SHERRIE",
        "middle_name": "DANENE",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "3450",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "23450",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilmer, TX

Sources for this page

Verify at the official NPI Registry.