MERCEDES DICKINSON (PH.D.) – Clinical Neuropsychologist, NPI 1255650800

MERCEDES DICKINSON (PH.D.) is a healthcare provider. based in Medford, Oregon. specializing in Clinical Neuropsychologist. They hold the professional credentials PH.D.. They hold a License No. 2052 (OR). The NPI Number for MERCEDES DICKINSON (PH.D.) is 1255650800

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MERCEDES DICKINSON (PH.D.)
NPI
1255650800
Phone
(832) 729-7687
Address
308 Windsor Ave
Enumeration Date
21 May 2010
Last Update Date
5 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416083878
Graduation Year
2008 (18 years ago)
PAC ID
8022132000
Group Practice PAC ID
8729050877
Professional Enrollment ID
I20100827000105
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for MERCEDES DICKINSON (PH.D.)

  • 308 Windsor Ave

    Medford, OR 975048052

    Phone: (832) 729-7687

    Type: Location

  • 308 WINDSOR AVE

    MEDFORD, OR 975048052

    Phone: (832) 729-7687

    Type: Mailing

  • 1744 E MCANDREWS RD STE J

    MEDFORD, OR 975045576

    Phone: (832) 729-7687

    Type: Location

  • 837 ALDER CREEK DR

    MEDFORD, OR 975048911

    Phone: (541) 608-3878

    Fax: (541) 608-3880

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes42464$0
96136Administration of psychological or neuropsychological test, first 30 minutes140137$0
96121Exam of neurobehavioral status, each additional hour105102$0
96132Evaluation of neuropsychological test, first hour103102$0
96116Exam of neurobehavioral status, first hour102102$0
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Insurance plans in this area (ZIP 97504)

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Provider's Procedures

MERCEDES DICKINSON (PH.D.) performs procedures in Clinical Neuropsychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALOR96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour8064

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729050877View full group profile
NameSpecialtyState
Clinical PsychologistOR
Clinical PsychologistKS
Clinical PsychologistCA

Reviews

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Frequently asked questions

What unique ID ties claims to MERCEDES DICKINSON (PH.D.)?
NPI 1255650800 is assigned to MERCEDES DICKINSON (PH.D.) under the national enumeration system.
Is MERCEDES DICKINSON (PH.D.)'s NPI currently valid?
The extract we use shows MERCEDES DICKINSON (PH.D.) as active.
Does MERCEDES DICKINSON (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Neuropsychologist for MERCEDES DICKINSON (PH.D.). Clinical services aligned with this taxonomy classification.
What location shows for MERCEDES DICKINSON (PH.D.)?
We surface Medford, Oregon for MERCEDES DICKINSON (PH.D.) based on available NPPES addresses.
Is MERCEDES DICKINSON (PH.D.) a real provider?
This page reflects official NPPES data for NPI 1255650800. Always confirm identity and privileges with the practice and licensing boards.

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