MISS NICOLE ASHLEIGH DALTON PSYD
NPI 1235642901
Psychologist - Clinical in Portland, OR

Q: What is Nicole Dalton's NPI number?

The NPI number for Nicole Dalton is 1235642901. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Q: What is Nicole Dalton'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 Nicole Dalton was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 15, 2017PECOS EnrolledAccepts Medicare Assignment

9427 SW BARNES RD STE 395, PORTLAND, OR 97225(503) 216-6550 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2020, Nov 15, 2017 (2 updates tracked since 2017).

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About Miss Nicole Ashleigh Dalton Psyd NPPES

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

MISS NICOLE ASHLEIGH DALTON PSYD (NPI 1235642901) is an individual clinical provider in Portland, Oregon, licensed in Oregon (4049) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235642901

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMISS NICOLE ASHLEIGH DALTONCredential: PSYD

Location Address9427 SW BARNES RD STE 395Portland, OR 97225-6652

Mailing Address9427 Sw Barnes Rd Ste 395Portland, OR 97225-6652

Phone(503) 216-6550

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 15, 2017

Last NPPES UpdateJune 22, 20262 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1235642901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 4049

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

9427 SW BARNES RD STE 395, Portland, OR 97225

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Secondary Practice Location 1

Location 11321 NE 99th Ave Ste 200Portland, OR 97220-9439 · Phone (503) 215-4250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Nicole Ashleigh Dalton Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163991852

PECOS Enrollment IDI20260512000954

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

TYSON DEE PAYNE PAYNE PSYD

Psychologist (Clinical)