Nicole Humphrey, PSYD in Salem, OR - Medicare Clinical Psychologist Provider

Nicole Humphrey, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Salem, Oregon. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Portland Dbt Institute Inc and her current practice location is 2600 Center St Ne, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 519-8972.

Nicole Humphrey is licensed to practice in Oregon (license number 3250) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689284739.

Contact Information

	Nicole Humphrey, PSYD
	2600 Center St Ne, Salem, OR 97301-2669
	(503) 519-8972
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Humphrey
Gender	Female
Speciality	Clinical Psychologist
Experience	5 Years
Location	2600 Center St Ne, Salem, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Humphrey graduated from medical school in 2019

NPI Data:

NPI Number: 1689284739
Provider Enumeration Date: 08/04/2020
Last Update Date: 03/04/2021

Medicare PECOS Information:

PECOS PAC ID: 1052726148
Enrollment ID: I20210223002561

Medical Identifiers

Medical identifiers for Nicole Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689284739	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3250 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Portland Dbt Institute Inc	7911141742	14

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Humphrey allows following entities to bill medicare on her behalf.

Entity Name	Portland Dbt Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073853966 PECOS PAC ID: 7911141742 Enrollment ID: O20130918000361

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Humphrey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Humphrey, PSYD 2600 Center St Ne, Salem, OR 97301-2682 Ph: () -	Nicole Humphrey, PSYD 2600 Center St Ne, Salem, OR 97301-2669 Ph: (503) 519-8972

Reviews and Comments

Psychologist in Salem, OR

Marcel Flores, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 435 Lancaster Dr Ne, Salem, OR 97301 Phone: 503-585-6388
Dr. Christine Wung, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2485 12th St Se, Wvp Boulder Creek, Salem, OR 97302 Phone: 503-967-1411
Dr. Carlos A Taloyo, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2250 D St Ne, Salem, OR 97301 Phone: 503-364-6093 Fax: 503-364-5121
Dr. Stephanie Van Orden, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800
Carlene Kaliher Shultz, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2600 Center St Ne, Oregon State Hospital, Salem, OR 97301 Phone: 503-945-2800
Dr. Sarah Marie Mckay, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-947-0215
Dr. Elizabeth Quackenbush, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2493 State St, Salem, OR 97301 Phone: 503-588-1010 Fax: 503-588-9424

Nicole Humphrey, PSYD - Medicare Psychologist in Salem, OR