Jennifer R. Antick, PHD
NPI 1285626507ActiveIndividual· Psychologist, Clinical· Portland, OR
Psychologist, Clinical (PHD) with Legacy Good Samaritan Hospital and Medical Center, practicing in Portland, Oregon. Medicare paid $3,581 for services to 22 patients in 2024.
Overview
| NPI | 1285626507 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Aug 22, 2005 |
| Last updated in NPPES | Dec 2, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1853 | OR |
| Psychologist, Clinical | 103TC0700X | PY00002039 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 139 across 9 procedure codes |
| Paid by Medicare | $3,581 |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Legacy Good Samaritan Hospital and Medical CenterPortland, OR · 191 clinicians
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All 572 clinical psychologists in Portland · All clinical psychologists in Oregon