Jennifer Antick, PHD
NPI 1285626507 · Clinical Psychologist · Portland, OR
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Antick, PHD is a Clinical Psychologist provider in Portland, OR (NPI 1285626507).
Provider details
- NPI number
- 1285626507
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- PY00002039 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
34 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Treatment of Behavior Impacting Health, Initial 30 Minutes96158 | 34 | $67 |
Typical Medicare-allowed amounts for these services range $67–$67 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-22
- Last updated
- 2011-12-02
Frequently asked questions
- What is Jennifer Antick's NPI number?
- Jennifer Antick's National Provider Identifier (NPI) is 1285626507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Antick's specialty?
- Jennifer Antick is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jennifer Antick located?
- Jennifer Antick's practice location on file with NPPES is 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011.
- What is Jennifer Antick's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Antick is (503) 494-7353.
- Does Jennifer Antick accept Medicare?
- Jennifer Antick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Antick's NPI active?
- Yes — Jennifer Antick's NPI (1285626507) is active in the NPPES registry as of the last update on 2011-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.