JACQUELINE J HEAD PSY.D. PC
NPI 1639153125
Psychologist - Clinical in Sherwood, OR

Q: What is Jacqueline Head's NPI number?

The NPI number for Jacqueline Head is 1639153125. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Jacqueline Head'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 Jacqueline Head was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 30, 2005PECOS Enrolled

22344 SW MAIN ST, SHERWOOD, OR 97140(503) 625-2768(503) 625-3768 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacqueline J Head Psy.d. Pc NPPES

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

JACQUELINE J HEAD PSY.D. PC (NPI 1639153125) is an individual clinical provider in Sherwood, Oregon, licensed in Oregon (1328) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1639153125

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJACQUELINE J HEADCredential: PSY.D. PC

Location Address22344 SW MAIN STSherwood, OR 97140-9416

Mailing Address22344 Sw Main StSherwood, OR 97140-9416 · (503) 625-2768 · Fax (503) 625-3768

Phone(503) 625-2768

Fax(503) 625-3768

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateNovember 30, 2005

Last NPPES UpdateAugust 16, 2019

✔ NPI 1639153125 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 · 1328

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.

22344 SW MAIN ST, Sherwood, OR 97140

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline J Head Psy.d. Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507810744

PECOS Enrollment IDI20050311000150

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

217 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97140 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.

Other Providers at the Same Location NPPES 6

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

BETHANY MICHELLE ZANDER PSY.D.

Psychologist