Margaret H. Anderson, PSY.D.
Individual provider Active NPI Clinical Psychologist · The Dalles, OR
NPI 1619031069 · NPPES record last updated Apr 25, 2017
Key facts
- NPI
- 1619031069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1820 (OR)
- Practice address
- 1210 Dry Hollow Road Suite 2
The Dalles, OR 97058-3167 - Phone
- (541) 298-2298
- Fax
- (541) 296-1080
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1210 Dry Hollow Rd
Suite 2
The Dalles, OR 97058-3167
Phone (541) 298-2298
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120522000807 | OR | Practitioner - Clinical Psychologist | 1759544190 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002800 | WA | MD | Clinical Psychologist |
| 1820 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasco County Student Asistance Program, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00002800 | WA | |
| Clinical Psychologist | 103TC0700X | 1820 | OR | Yes |
Addresses
Primary practice location
1210 Dry Hollow Road Suite 2
The Dalles, OR 97058-3167
Mailing address
PO Box 1102
Goldendale, WA 98620-1102
Phone (541) 298-2298
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164936 | Medicaid | OR |
Other providers in The Dalles, OR
- Anchor Anesthesia LLC
- Kristen Lynn Anders
- Brittany Anderson
- Candace Madeline Anderson
- Jeremy Gilman Anderson
- Rose Anna Anderson
- Ariadne Andrade Lopez
- Yeimi Andrade
- Lucille Elenore Andreas
- Robin Marie Andrews
All providers in The Dalles, OR · Clinical Psychologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.