DR. REGINALD ADKISSON PHD
NPI 1063632834
Psychologist - Clinical in Bremerton, WA

Q: What is Reginald Adkisson's NPI number?

The NPI number for Reginald Adkisson is 1063632834. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Q: What is Reginald Adkisson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Reginald Adkisson was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2007

1 BOONE RD, BREMERTON, WA 98312(360) 475-4492 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2023, Feb 20, 2019 (2 updates tracked since 2019).

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About Dr. Reginald Adkisson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. REGINALD ADKISSON PHD (NPI 1063632834) is an individual clinical provider in Bremerton, Washington, licensed in Illinois (071008173) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1063632834

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. REGINALD ADKISSONCredential: PHD

Location Address1 BOONE RDBremerton, WA 98312-1894

Mailing Address1 Boone RdBremerton, WA 98312-1898 · (360) 475-4492

Phone(360) 475-4492

Sole ProprietorNo

Enumeration DateApril 26, 2007

Last NPPES UpdateFebruary 16, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2023

✔ NPI 1063632834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in IL · 071008173✔ Licensed in WA · PY61017237

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1 BOONE RD, Bremerton, WA 98312

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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