DR. JULIE D. FREDERICK PH.D.
NPI 1487635363
Psychologist - Clinical in Portland, OR

Active since November 08, 2005Opted out of Medicare · through Feb 25, 2027
9900 SW WILSHIRE ST, SUITE 160, PORTLAND, OR 97225(503) 894-9255(503) 385-0343 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Julie D. Frederick Ph.d. NPPES

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

DR. JULIE D. FREDERICK PH.D. (NPI 1487635363) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1006) and active in the NPI registry since November 2005. She has opted out of Medicare through February 25, 2027.

NPPES Registry Identity

NPI1487635363
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JULIE D. FREDERICKCredential: PH.D.
Location Address9900 SW WILSHIRE ST, SUITE 160Portland, OR 97225-5035
Mailing Address9900 Sw Wilshire St, Suite 160Portland, OR 97225-5035 · (503) 894-9255 · Fax (503) 385-0343
Fax(503) 385-0343
Sole ProprietorYes
Enumeration DateNovember 8, 2005
Last NPPES UpdateJune 22, 2015
NPI 1487635363 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 · 1006
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.

9900 SW WILSHIRE ST, Portland, OR 97225

Other Identifiers 1

Medicaid035142OR

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

Dr. Julie D. Frederick Ph.d. 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 February 25, 2025 through February 25, 2027.

Opt-Out Effective DateFebruary 25, 2025
Opt-Out In Effect ThroughFebruary 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

Psychiatry & Neurology (Psychiatry)
9900 SW WILSHIRE ST, SUITE 220
PORTLAND, OR 97225
Chiropractor
9900 SW WILSHIRE ST, STE 170
PORTLAND, OR 97225
Clinic/Center (Health Service)
9900 SW WILSHIRE ST, SUITE 190-B
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9900 SW WILSHIRE ST, STE 220
PORTLAND, OR 97225
Hospice Care, Community Based
9900 SW WILSHIRE ST, SUITE 170
PORTLAND, OR 97225
Counselor (Mental Health)
9900 SW WILSHIRE ST, #130
PORTLAND, OR 97225
Acupuncturist
9900 SW WILSHIRE ST, SUITE 190-A
PORTLAND, OR 97225
Counselor (Professional)
9900 SW WILSHIRE ST, #230
PORTLAND, OR 97225

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 Julie Frederick's NPI number?

The NPI number for Julie Frederick is 1487635363. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Julie Frederick located?

Julie Frederick practices at 9900 SW Wilshire St Suite 160, Portland, OR 97225. The listed phone number is (503) 894-9255.

What is Julie Frederick's specialty?

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

Is Julie Frederick enrolled in Medicare?

No. Julie Frederick has opted out of Medicare through February 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Julie Frederick accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Julie Frederick 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 Julie Frederick was last updated on June 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.