Bonnie Jo Flick, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD26514 Issued in OR

Practice address

18650 NW Cornell Rd
Suite 315
Hillsboro, OR 97124-9207

Phone

(503) 352-0468

Fax

(503) 352-1024

NPI assigned

Jul 29, 2006

Last updated

Dec 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 2, 2015 through Dec 2, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mind Matters PC

  • Psychologist
  • Beaverton, OR
  • NPI 1285839019
  NPD (past)
• Sequoia Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Aloha, OR
  • NPI 1730167982
  NPD (past)
• Department of Pediatrics University of Utah

  • Pediatrics Physician
  • Salt Lake City, UT
  • NPI 1679528715
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1144234485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 NW CORNELL RD",
            "address_2": "SUITE 315",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249207",
            "telephone_number": "503-352-0468",
            "fax_number": "503-352-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 NW CORNELL RD",
            "address_2": "SUITE 315",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249207",
            "telephone_number": "503-352-0468",
            "fax_number": "503-352-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICK",
        "first_name": "BONNIE",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD26514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valery Flanegin Briezen
• Fleming Physical Therapy Services, LLC
• Elvera Denise Fleming-Pacheco, RDH
• George Robert Fleming, PHD
• Paula Ann Fleskes, PT
• Jamie L Floch, LMT
• Iesha Floor
• Larson K Floor, DMD
• Samantha Flores-Pena, PHARMD
• Bethel May Flores, N.D.

• Child & Adolescent Psychiatry Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Child & Adolescent Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.