Individual provider Active NPI

Julie Arnold Dicks, PHD

  • Clinical Psychologist
  • Beaverton, OR
National Provider Identifier
1942471982
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1441 Issued in OR
Practice address
4900 SW Griffith Dr
Suite 235
Beaverton, OR 97225
Phone
(503) 805-9456
Fax
(503) 641-1601
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1441 OR Primary

Addresses

Primary practice location

4900 SW Griffith Dr
Suite 235
Beaverton, OR 97225

Mailing address

4900 SW Griffith Dr
Suite 235
Beaverton, OR 97225
Phone (503) 805-9456

Other names 1

  • Julie Lynne Arnold Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1441ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie a. Dicks, PH.D., P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1942471982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR",
            "address_2": "SUITE 235",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-805-9456",
            "fax_number": "503-641-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR",
            "address_2": "SUITE 235",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-805-9456",
            "fax_number": "503-641-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKS",
        "first_name": "JULIE",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ARNOLD",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.