DR. MAUREEN GRACE HICKS (NPI# 1780897678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780897678 |
| Entity Type | Individual |
| Full Name | DR. MAUREEN GRACE HICKS |
| Credential | PH.D. |
| Practice Address |
1016 Court St Medford OR 97501 |
| Mailing Address |
Po Box 303 Ashland OR 97520-0011 |
| Practice Telephone | 5416311061 |
| Practice Fax Number | 5418330998 |
| Mailing Telephone | 5416311061 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2365 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500668705 | 05 |
| Street Address |
1016 COURT ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137312 | Counseling Northwest | Counselor | 1016 Court St, Medford, OR 97501-5728 | 2006-01-02 |
| 1285080960 | Wise Caring PC | Community/Behavioral Health | 1016 Court St, Medford, OR 97501-5728 | 2016-05-11 |
| 1154691533 | Katherine Warner Licensed Psychologist | Clinical Neuropsychologist | 1016 Court St, Medford, OR 97501-5728 | 2012-01-03 |
| 1730335894 | Katherine Warner | Counselor | 1016 Court St, Medford, OR 97501-5728 | 2008-08-08 |
| 1598935827 | Judith Ann Voruz | Counselor | 1016 Court St, Medford, OR 97501-5728 | 2008-03-03 |
| 1871555672 | Richard Jensen | Counselor | 1016 Court St, Medford, OR 97501-5728 | 2006-04-05 |
| 1578525812 | Marian Gunderson | Social Worker | 1016 Court St, Medford, OR 97501-5728 | 2006-04-03 |
| 1013978907 | Toni Richmond | Marriage & Family Therapist | 1016 Court St, Medford, OR 97501-5728 | 2006-03-30 |
| 1528028974 | Blandine R. Leavitt | Marriage & Family Therapist | 1016 Court St, Medford, OR 97501-5728 | 2006-03-27 |
| 1689652430 | Barbara D. Knox | Social Worker | 1016 Court St, Medford, OR 97501-5728 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639958 | Steven C Schoger Psy D LLC | Psychologist | 10 Crater Lake Ave Ste 21, Medford, OR 97504-7445 | 2019-09-29 |
| 1578925947 | Linda Shane Escoll | Psychologist | 120 Curtis St, Counseling and Mental Health Service, Tufts University, Medford, MA 02155 | 2016-03-24 |
| 1033576723 | Nicole Paolillo | Psychologist | 2 Persimmon Ct, Medford, NJ 08055-3605 | 2016-01-26 |
| 1275929630 | Lizabeth M. Eckerd | Psychologist | 4497 Brown Ridge Ter Ste 106, Medford, OR 97504-9173 | 2015-04-13 |
| 1407265176 | Vicki Lumley, Ph.d., LLC | Psychologist | 724 South Central Ave., Suite 101, Medford, OR 97501-7851 | 2014-08-07 |
| 1144463845 | Boyd David Sherbourne | Psychologist | 670 Superior Ct Ste 110, Medford, OR 97504-6179 | 2009-04-09 |
| 1912143306 | Jacob John Mahon | Psychologist | 1744 E Mcandrews Rd Ste B, Medford, OR 97504-5576 | 2009-01-06 |
| 1750550687 | Joseph F Roe | Psychologist | 136 W Broadway Ave, Medford, WI 54451-1757 | 2008-02-25 |
| 1396942025 | Alan Ledford | Psychologist | 409 Ardmore Ave, Medford, OR 97504-8004 | 2007-06-27 |
| 1225247653 | Wade W Johnston | Psychologist | 603 Eugenia Drive, Medford, NJ 08055-2311 | 2007-05-22 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.