Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780053314 Individual Practitioner Female Practitioner

Dr. Chanel Breae Dismuke , PsyD

Psychologist • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Chanel Dismuke, PsyD is a registered healthcare professional specializing in Psychologist in Beaverton, OR. Practice services are available at 1975 NW 167TH PL STE 100-42 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1975 Nw 167th Pl Ste 100-42

Beaverton, OR 970064908

Telephone 5034365663
Associated Practice Facility / Clinic
🏢 Nw Intrinsic Psychotherapy Facility NPI 1770369480

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.4 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
24 Specialists

Practicing in Beaverton, OR (780 Statewide)

Telehealth Adoption Rate
20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-04
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OR 3292

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.

Psychologist - Cognitive & Behavioral

NUCC Taxonomy Code: 103TB0200X

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License OR 3292

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.

Secondary Practice Locations

10700 Sw Beaverton Hillsdale Hwy Ste 546

Beaverton, OR 970054739

Phone: 5034365663

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location November 06, 2023

Registered at 1975 NW 167TH PL STE 100-42, BEAVERTON, OR 970064908 (Tel: 5034365663)

📍
Updated Business Mailing Address November 06, 2023

Registered at 1975 NW 167TH PL STE 100-42, BEAVERTON, OR 970064908 (Tel: 5034365663)

📍
Updated Practice Location August 28, 2023

Registered at 10700 SW BEAVERTON HILLSDALE HWY STE 546, BEAVERTON, OR 970054739 (Tel: 5034365663)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2023

Psychologist

📍
Updated Practice Location August 29, 2019

Registered at 14600 NW CORNELL RD, PORTLAND, OR 972295442 (Tel: 5036453581)

👤
Provider Name / Credentials Updated August 29, 2019

Recorded as CHANEL DISMUKE, PSYD

📍
Updated Practice Location August 13, 2018

Registered at 1015 MICHIGAN AVE, LOGANSPORT, IN 46947 (Tel: 5747225151)

👤
Provider Name / Credentials Updated August 13, 2018

Recorded as CHANEL DISMUKE, MA

NPI Profile Active October 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2017

Registered at 14600 NW CORNELL RD, PORTLAND, OR 972295442 (Tel: 5036453581)

📍
Updated Business Mailing Address October 12, 2017

Registered at 14600 NW CORNELL ROAD, PORTLAND, OR 972295442

👤
Provider Name / Credentials Updated October 12, 2017

Recorded as CHANEL DISMUKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2017

Counselor

NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 222 SE 8TH AVE STE 212, HILLSBORO, OR 971234218 (Tel: 5033527333)

📍
Updated Business Mailing Address August 10, 2016

Registered at 1816 23RD AVE, FOREST GROVE, OR 971161644 (Tel: 5033527333)

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as CHANEL DISMUKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Counselor

🟢
Initial NPI Registration & Enumeration September 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780053314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2015
Last Update: July 04, 2024
Sole Proprietor: No

Mailing Address

1975 Nw 167th Pl Ste 100-42

Beaverton, OR 970064908

Phone: 5034365663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.