Individual provider Active NPI

Julie Kay Applegate, PH.D.

  • Clinical Psychologist
  • Depoe Bay, OR
National Provider Identifier
1851572762
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3066 Issued in OR
Practice address
116A N Highway 101
Depoe Bay, OR 97341-1947
Phone
(541) 921-7945
Fax
(541) 614-4133
NPI assigned
Nov 19, 2007
Last updated
Nov 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5749 FL
Clinical Psychologist 103TC0700X 3066 OR Primary

Addresses

Primary practice location

116A N Highway 101
Depoe Bay, OR 97341-1947

Mailing address

PO Box 643
Depoe Bay, OR 97341-0643
Phone (541) 921-7945

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
I20190828002514 OR Practitioner - Clinical Psychologist 6800802752 Practice locations: Depoe Bay, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

116A N Hwy 101
Depoe Bay, OR 97341-1947
Phone (541) 921-7945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3066ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Townsend & Associates, P.a. Clinical Past Accepting new patients
Dr. Steven P. Dingfelder & Assoc., Inc. Clinical Past Accepting new patients
Chyril Walker PHD PC Clinical PastSince Aug 1, 2019 Accepting new patients
Chyril Walker PHD PC Clinical PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 4

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": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1851572762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "DEPOE BAY",
            "state": "OR",
            "postal_code": "973410643",
            "telephone_number": "541-921-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116A N HIGHWAY 101",
            "city": "DEPOE BAY",
            "state": "OR",
            "postal_code": "973411947",
            "telephone_number": "541-921-7945",
            "fax_number": "541-614-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "JULIE",
        "middle_name": "KAY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5749",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depoe Bay, OR

Sources for this page

Verify at the official NPI Registry.