CHANEL BREAE DISMUKE PSYD
NPI 1780053314
Psychologist in Beaverton, OR

Active since September 24, 2015
1975 NW 167TH PL STE 100-42, BEAVERTON, OR 97006(503) 436-5663 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2024, Nov 6, 2023, Aug 28, 2023 and 3 more (6 updates tracked since 2016).

About Chanel Breae Dismuke Psyd NPPES

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

CHANEL BREAE DISMUKE PSYD (NPI 1780053314) is an individual psychologist in Beaverton, Oregon, licensed in Oregon (3292) and active in the NPI registry since September 2015. She maintains a secondary practice location in Beaverton.

NPPES Registry Identity

NPI1780053314
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCHANEL BREAE DISMUKECredential: PSYD
Location Address1975 NW 167TH PL STE 100-42Beaverton, OR 97006-4908
Mailing Address1975 Nw 167th Pl Ste 100-42Beaverton, OR 97006-4908 · (503) 436-5663
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
Last NPPES UpdateJuly 4, 20246 updates tracked since enumeration
NPPES CertifiedJuly 4, 2024
NPI 1780053314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 3292
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 3292 (OR)
1975 NW 167TH PL STE 100-42, Beaverton, OR 97006

Secondary Practice Location 1

Location 110700 SW Beaverton Hillsdale Hwy Ste 546Beaverton, OR 97005-4739 · Phone (503) 436-5663

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Psychologist
1975 NW 167TH PL STE 100-42
BEAVERTON, OR 97006
Psychologist (Clinical)
1975 NW 167TH PL STE 100-42
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 Chanel Dismuke's NPI number?

The NPI number for Chanel Dismuke is 1780053314. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Chanel Dismuke located?

Chanel Dismuke practices at 1975 NW 167th Pl Ste 100-42, Beaverton, OR 97006. The listed phone number is (503) 436-5663.

What is Chanel Dismuke's specialty?

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

What insurance does Chanel Dismuke accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Chanel Dismuke 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 Chanel Dismuke was last updated on July 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.