Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Douglas K. Hicks , PhD

Psychologist - Clinical • Gresham, OR

Active NPI 1245322601 Individual Practitioner Male Practitioner
Practice location in NPPES

1217 Ne Burnside Rd, Building B, Suite 401
Gresham, OR 970306722

Call 5036668832 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1217 Ne Burnside Rd
Building B, Suite 401

Gresham, OR 970306722

Telephone 5036668832
Fax 5036698641
Organization at the Same NPPES Address or Phone
Brian Knight Do Llc Facility NPI 1386630010

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

13 active clinicians are listed under Psychologist - Clinical with a practice address in Gresham, OR (1,144 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

30.8% of these 13 clinicians have the CMS telehealth indicator.

30.8% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES OR 624

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
164936 (OR)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. James Bossmann , MD

Psychiatry & Neurology - Psychiatry

NPI 1255867065

Doctor of Medicine (M.D.)

Myron Falkner , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1598196198

Psychiatric-Mental Health Nurse Practitioner

NPI 1063761716

Doctor of Psychology (Psy.D.)

Jessica Wilkerson , APRN-NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1376796987

APRNNP

Dr. Peter Wilson , PsyD

Psychologist - Clinical

NPI 1992897490

Doctor of Psychology (Psy.D.)

Career & Practice History

NPI enumerated September 29, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1245322601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Other Psychologist - Clinicals in Gresham

All Psychologist - Clinicals in Gresham

Mailing Address

Po Box 82819

Portland, OR 972820819

Phone: 5032335405

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.