DR. LUKE E. PATRICK PH.D.
NPI 1821025495
Psychologist - Exercise & Sports in Portland, OR
About Dr. Luke E. Patrick Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LUKE E. PATRICK PH.D. (NPI 1821025495) is an individual exercise & sports provider in Portland, Oregon, licensed in Oregon (1491) and active in the NPI registry since June 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
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. Luke E. Patrick 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 January 1, 2017 through January 1, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97223
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821025495, enumerated as an "individual" on June 27, 2006.
The provider is located at 12250 SW GARDEN PL PORTLAND, OR 97223 and the phone number is (503) 684-7246.
Psychologist with taxonomy code 103TE1100X and a focus in Exercise & Sports.
The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.
