ALEX J RICKETTS PHD
NPI 1336162353
Psychologist in Beaverton, OR

Active since July 25, 2006Opted out of Medicare · through Apr 1, 2027
16110 SW REGATTA LN, BEAVERTON, OR 97006(503) 533-7166(503) 533-4433 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alex J Ricketts Phd NPPES

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

ALEX J RICKETTS PHD (NPI 1336162353) is an individual psychologist in Beaverton, Oregon, licensed in Oregon (1638) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336162353
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameALEX J RICKETTSCredential: PHD
Location Address16110 SW REGATTA LNBeaverton, OR 97006-8942
Mailing Address16110 Sw Regatta LnBeaverton, OR 97006-8942 · (503) 533-7166 · Fax (503) 230-1541
Fax(503) 533-4433
Sole ProprietorYes
Enumeration DateJuly 25, 2006
Last NPPES UpdateAugust 1, 2022
NPPES CertifiedAugust 1, 2022
NPI 1336162353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 1638
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
16110 SW REGATTA LN, Beaverton, OR 97006

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Alex J Ricketts Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Psychologist
16110 SW REGATTA LN
BEAVERTON, OR 97006
Clinic/Center (Adult Mental Health)
16110 SW REGATTA LN
BEAVERTON, OR 97006
Psychiatry & Neurology (Psychiatry)
16110 SW REGATTA LN
BEAVERTON, OR 97006
Social Worker
16110 SW REGATTA LN
BEAVERTON, OR 97006
Psychologist
16110 SW REGATTA LN
BEAVERTON, OR 97006
Social Worker (Clinical)
16110 SW REGATTA LN
BEAVERTON, OR 97006
Social Worker
16110 SW REGATTA LN
BEAVERTON, OR 97006
Psychologist
16110 SW REGATTA LN
BEAVERTON, OR 97006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alex Ricketts's NPI number?

The NPI number for Alex Ricketts is 1336162353. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Alex Ricketts located?

Alex Ricketts practices at 16110 SW Regatta Ln, Beaverton, OR 97006. The listed phone number is (503) 533-7166.

What is Alex Ricketts's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Alex Ricketts enrolled in Medicare?

No. Alex Ricketts has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Alex Ricketts accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Alex Ricketts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alex Ricketts was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.