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Dr. Holly Hetrick , PsyD

Psychologist β€’ Newberg, OR

Active NPI 1861634255 Individual Practitioner Female Practitioner
Practice location in NPPES

442 Villa Rd
Newberg, OR 971321856

Call 5036100773 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

442 Villa Rd

Newberg, OR 971321856

Telephone 5036100773
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Beaverton, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

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, β€œDoes 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 Newberg and Oregon

15 active clinicians are listed under Psychologist with a practice address in Newberg, OR (742 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newberg

6.7% of these 15 clinicians have the CMS telehealth indicator.

26.7% of these 15 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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES OR 1990

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Cognitive & Behavioral

NUCC Taxonomy Code: 103TB0200X

License # reported to NPPES OR 1990

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Psychologist - Counseling

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES OR 1990

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Psychologist - Clinical Child & Adolescent

NUCC Taxonomy Code: 103TC2200X

License # reported to NPPES OR 1990

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Psychologist - Group Psychotherapy

NUCC Taxonomy Code: 103TP2701X

License # reported to NPPES OR 1990

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

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

Secondary Practice Locations

16535 Sw Tv Hwy

Beaverton, OR 970069922

Phone: 5036495651

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Psychologist (license number reported to NPPES: OR 1990)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Psychologist (license number reported to NPPES: OR 1990)

βœ…
NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 14, 2017

Registered at 442 VILLA RD, NEWBERG, OR 971321856 (Tel: 5036100773)

πŸ“
Updated Business Mailing Address August 14, 2017

Registered at 901 BRUTSCHER ST # D193, NEWBERG, OR 971326096 (Tel: (503) 610-0773)

πŸ‘€
Provider Name / Credentials Updated August 14, 2017

Recorded as HOLLY HETRICK, PSY D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Psychologist (license number reported to NPPES: OR 1990)

βœ…
NPI Profile Active August 03, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 03, 2009

Registered at 16535 SW TV HWY, BEAVERTON, OR 970069922 (Tel: 5036495651)

πŸ“
Business Mailing Address (Initial Record) August 03, 2009

Registered at 16535 SW TV HWY, BEAVERTON, OR 970069922 (Tel: 5036495651)

πŸ‘€
Provider Name / Credentials (Initial Record) August 03, 2009

Recorded as HOLLY HETRICK, PSY D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2009

Psychologist (license number reported to NPPES: OR 1990)

🟒
Initial NPI Registration & Enumeration March 31, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861634255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2009
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

901 Brutscher St # D193

Newberg, OR 971326096

Phone: 5036100773

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.