LICCI JAIMES PSYD
NPI 1417473992
Psychologist - Clinical in Mcminnville, OR

Q: What is Licci Jaimes's NPI number?

The NPI number for Licci Jaimes is 1417473992. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Q: What is Licci Jaimes'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 Licci Jaimes was last updated on January 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2017

115 NE MAY LN, MCMINNVILLE, OR 97128(503) 472-1338(503) 434-8597 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 3, 2020, Aug 16, 2017 (2 updates tracked since 2017).

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About Licci Jaimes Psyd NPPES

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

LICCI JAIMES PSYD (NPI 1417473992) is an individual clinical provider in Mcminnville, Oregon, licensed in Oregon (3095) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1417473992

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLICCI JAIMESCredential: PSYD

Location Address115 NE MAY LNMcminnville, OR 97128-9272

Mailing AddressPo Box 6149Aloha, OR 97007-0149 · (503) 352-8657 · Fax (503) 352-8658

Phone(503) 472-1338

Fax(503) 434-8597

Sole ProprietorNo

Enumeration DateAugust 16, 2017

Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration

✔ NPI 1417473992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 3095

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.

115 NE MAY LN, Mcminnville, OR 97128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

SUNISA CHANYAPUTHIPONG MD

Family Medicine