Robert Adam Dickey, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2618 Issued in OR

Practice address

20385 Buttermilk
Bend, OR 97702-9490

Phone

(503) 734-8261

NPI assigned

May 17, 2010

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• R. Adam Dickey PSYD LLC

  • Clinical Psychologist
  • Bend, OR
  • NPI 1457889545
  NPD Authorized official

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1912225830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20385 BUTTERMILK",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029490",
            "telephone_number": "503-734-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20385 BUTTERMILK",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029490",
            "telephone_number": "503-734-8261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 SW Century Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021167",
            "country_code": "US",
            "telephone_number": "503-734-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "ROBERT",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay M Dicharry, PT
• Terri Louise Dickens Landreth, LCSW
• Lindsey Dickens
• Allison Dickerson
• Kimberly Whalen Dickerson, RN
• Faith Dieleman, MD
• Sophie Rose Diepenheim, DMD
• Sally Diane Digirolamo
• Yolimar Canahuate Digiulio, D.M.D.
• Eric S Dildine, PA-C

• Clinical Psychologist in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.