Jeffrey L. Hicks, PH.D., P.C.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

436 Issued in OR

Legal business name

JEFFREY L. HICKS, PH.D., P.C.

Practice address

41 W 19TH Ave
Eugene, OR 97401-3822

Phone

(541) 683-5024

NPI assigned

Feb 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey L. Hicks, PH.D.NPI 1538200043

Title

President

Phone

(541) 683-5024

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Louis Hicks, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Eugene, OR
  • NPI 1538200043
  NPD (past) Authorized official

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407821937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W 19TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013822",
            "telephone_number": "541-683-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W 19TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013822",
            "telephone_number": "541-683-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L. HICKS, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-683-5024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Jearls
• Jeff Huston Counseling, LLC
• Alexa Dion Jefferis, LMFT
• Taylina Jeffers
• Jeffrey Burch Ms LLC
• Laurel Ann Jeffrey
• Tracy Ann Jeffries, M.A.
• Dylan Paul Jeffryes, QMHP-R, LPC-A
• Shelley Jelineo
• Courtney Cash Jellar, LPC

• Clinical Child & Adolescent Psychologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Child & Adolescent Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.