ETHAN WARANCH PSYD
NPI 1053764886
Psychologist in Portland, OR
About Ethan Waranch Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN WARANCH PSYD (NPI 1053764886) is an individual psychologist in Portland, Oregon, licensed in Oregon (3654) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan Waranch Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ethan Waranch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97204
- Reassigned Medicare billing, Oregon enrollment
- 29 clinicians in this Medicare group
Tacoma, WA 98405
- Reassigned Medicare billing, Oregon enrollment
- 314 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ethan Waranch's NPI number?
The NPI number for Ethan Waranch is 1053764886. It was assigned to this individual provider in the NPPES registry on July 16, 2016.
Where is Ethan Waranch located?
Ethan Waranch practices at 12636 SE Stark St Bldg J, Portland, OR 97233. The listed phone number is (503) 253-4600.
What is Ethan Waranch's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Ethan Waranch enrolled in Medicare?
Yes. Ethan Waranch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ethan Waranch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Waranch reassigns Medicare benefits to 2 organizations: Psychological Services Connection LLC (Portland, OR) and Western Psychological And Counseling Services LLC (Tacoma, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Waranch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Waranch accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Ethan Waranch 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 Ethan Waranch was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.