Active NPI
Allison J Bicksler, PSY.D.
- Clinical Psychologist
- Fullerton, CA
National Provider Identifier
1871928077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY25800
- Practice address
- 385 Imperial Hwy
Fullerton, CA 92835-1040 - Phone
- (714) 681-9070
- Fax
- (714) 773-4788
- NPI assigned
- Sep 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY25800 | CA | Primary |
Addresses
Primary practice location
385 Imperial Hwy
Fullerton, CA 92835-1040
Mailing address
385 Imperial Hwy
Fullerton, CA 92835-1040
Phone (714) 681-9070
Other names 1
- Allison J Wagner-Millette
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15635 Alton Pkwy
Suite 350
Irvine, CA 92618-7333
Phone (949) 528-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25800 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kamala Thomas Psychological Services Corp | Current | Accepting new patients | |
| Orange County Health Psychologists, Inc. | Clinical | Current | Accepting new patients |
Locations
15635 Alton Pkwy
Ste 350
Irvine, CA 92618
Phone (949) 528-6300
Interoperability endpoints
- allison.bicksler.1@17999.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Irvine, CA
- NPI 1174945554
-
- Adult Mental Health Clinic/Center
- Irvine, CA
- NPI 1144843814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1871928077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 IMPERIAL HWY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928351040",
"telephone_number": "714-681-9070",
"fax_number": "714-773-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 IMPERIAL HWY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928351040",
"telephone_number": "714-681-9070",
"fax_number": "714-773-4788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKSLER",
"first_name": "ALLISON",
"middle_name": "J",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-06",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "WAGNER-MILLETTE",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.