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

Last updated

Oct 11, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• R. Adam Dickey PSYD LLC

  dba R. Adam Dickey

  • 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": []
}

• Terri Louise Dickens Landreth, LCSW
• Lindsey Dickens
• Allison Dickerson
• Jada 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.