Individual provider Active NPI

Lindsay Kaye Tice, PSY D

  • Psychologist
  • Pendleton, OR
National Provider Identifier
1598057689
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3109 Issued in OR
Practice address
27 SW Frazer Ave
Pendleton, OR 97801-2147
Phone
(541) 278-2222
Fax
(541) 276-8405
NPI assigned
May 6, 2011
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3109 OR Primary

Addresses

Primary practice location

27 SW Frazer Ave
Pendleton, OR 97801-2147

Mailing address

27 SW Frazer Ave
Pendleton, OR 97801-2147
Phone (541) 278-2222

Other identifiers 1

IdentifierTypeStateIssuer
500769085MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20191121001699 OR Practitioner - Clinical Psychologist 7517399074 Practice locations: Pendleton, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Southgate
Suite 13
Pendleton, OR 97801-3973

27 SW Frazer Ave
Pendleton, OR 97801-2147
Phone (541) 278-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3109ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services of Pendleton, LLC Psychologist CurrentSince Oct 9, 2022 Accepting new patients
3-D Healthcare Services P.C. Past Accepting new patients
Emily Arnold, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

1100 Southgate
Ste 13
Pendleton, OR 97801
Phone (541) 278-2222

Organizations & group practices 3

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1598057689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SW FRAZER AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012147",
            "telephone_number": "541-278-2222",
            "fax_number": "541-276-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SW FRAZER AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012147",
            "telephone_number": "541-278-2222",
            "fax_number": "541-276-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "LINDSAY",
        "middle_name": "KAYE",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500769085",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.