DR. KELLY A DICKINSON PH. D.
NPI 1841221207
Psychologist - Clinical in Spokane, WA

Q: What is Kelly Dickinson's NPI number?

The NPI number for Kelly Dickinson is 1841221207. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Kelly Dickinson'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 Kelly Dickinson was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 July 05, 2006PECOS Enrolled

522 W RIVERSIDE AVE # 6728, SPOKANE, WA 99201(253) 553-3483 Get Directions Write a Review

NPPES record last updated: April 26, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 28, 2025, Mar 10, 2020 (2 updates tracked since 2020).

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About Dr. Kelly A Dickinson Ph. D. NPPES

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

DR. KELLY A DICKINSON PH. D. (NPI 1841221207) is an individual clinical provider in Spokane, Washington, licensed in Washington (PY3728) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Federal Way.

NPPES Registry Identity

NPI1841221207

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLY A DICKINSONCredential: PH. D.

Location Address522 W RIVERSIDE AVE # 6728Spokane, WA 99201-0580

Mailing Address32020 32nd Ave S Ste 110Federal Way, WA 98001-9349 · (253) 838-3090

Phone(253) 553-3483

Sole ProprietorNo

Enumeration DateJuly 5, 2006

Last NPPES UpdateApril 26, 20252 updates tracked since enumeration

NPPES CertifiedApril 26, 2025

✔ NPI 1841221207 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 WA · PY3728

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.

522 W RIVERSIDE AVE # 6728, Spokane, WA 99201

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Secondary Practice Location 1

Location 132020 32nd Ave SFederal Way, WA 98001-9349 · Phone (253) 838-3090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare.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)

Dr. Kelly A Dickinson Ph. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99201 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

$172.80 typical visit price

range $57.27 – $172.80

Typical copayment $43.20 (range $14.31 – $43.20)

Most-billed visit code 99205

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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 Kelly Dickinson's NPI number?

The NPI number for Kelly Dickinson is 1841221207. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Kelly Dickinson located?

Kelly Dickinson practices at 522 W Riverside Ave # 6728, Spokane, WA 99201. The listed phone number is (253) 553-3483.

What is Kelly Dickinson's specialty?

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

Is Kelly Dickinson enrolled in Medicare?

Yes. Kelly Dickinson is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Dickinson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Kelly Dickinson 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 Kelly Dickinson was last updated on April 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.