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DR. COREY DARRYL ANDERSON PSY.D.
NPI 1114278819
Clinical Neuropsychologist in Portland, OR

Active since September 21, 2012PECOS Enrolled
2801 N GANTENBEIN AVE, SUITE 2225, PORTLAND, OR 97227(503) 413-4505(503) 413-3063 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Corey Darryl Anderson Psy.d. NPPES

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

DR. COREY DARRYL ANDERSON PSY.D. (NPI 1114278819) is an individual clinical neuropsychologist in Portland, Oregon, licensed in Oregon (2325) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114278819
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. COREY DARRYL ANDERSONCredential: PSY.D.
Location Address2801 N GANTENBEIN AVE, SUITE 2225Portland, OR 97227-1623
Mailing Address2801 N Gantenbein Ave, Suite 2225Portland, OR 97227-1623 · (503) 413-4505 · Fax (503) 413-3063
Phone(503) 413-4505
Fax(503) 413-3063
Sole ProprietorNo
Enumeration DateSeptember 21, 2012
Last NPPES UpdateMarch 22, 2017
✔ NPI 1114278819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in OR · 2325
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2801 N GANTENBEIN AVE, Portland, OR 97227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Corey Darryl Anderson Psy.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.

Medicare Billing Reassignment

Medicare enrollment records show Corey Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Emanuel Hospital & Health Center
Same address
General Acute Care Hospital
2801 N GANTENBEIN AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1831112358 (503) 413-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KARI MAGNUSSEN MS
Genetic Counselor, MS
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 403-4967
NORTHWEST PEDIATRIC CRITICAL CARE PC
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2794
DR. JANICE FAYE OLSON M.D.
Pediatrics (Pediatric Hematology-Oncology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
RADIOLOGY CONSULTANTS, INC
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 227-2400
KATHY SCHWEITZER CNP
Nurse Practitioner (Neonatal)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2042
DR. JOEL NORMAN LAMPERT PSY.D., LPC, NCC
Psychologist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
DR. NATALIE JUSTINE TEDFORD MD
Pediatrics (Pediatric Emergency Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6500
OMAR J BHUTTA MD
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6565

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 Corey Anderson's NPI number?

The NPI number for Corey Anderson is 1114278819. It was assigned to this individual provider in the NPPES registry on September 21, 2012.

Where is Corey Anderson located?

Corey Anderson practices at 2801 N Gantenbein Ave Suite 2225, Portland, OR 97227. The listed phone number is (503) 413-4505.

What is Corey Anderson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Corey Anderson enrolled in Medicare?

Yes. Corey Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Corey Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corey Anderson reassigns Medicare benefits to Legacy Emanuel Hospital & Health Center (Portland, OR). The 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 Corey Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Corey Anderson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Corey Anderson 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 Corey Anderson was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.