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KATIE UGOLINI PHD LLC
NPI 1164131603
Clinic/Center - Adult Mental Health in Beaverton, OR

Active since November 22, 2022
16110 SW REGATTA LN, BEAVERTON, OR 97006(503) 617-6810(503) 536-6794 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katie Ugolini Phd Llc NPPES

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

KATIE UGOLINI PHD LLC (NPI 1164131603) is a healthcare organization registered as an adult mental health in Beaverton, Oregon and active in the NPI registry since November 2022. The organization lists Kathleen Anne Ugolini, Owner, as its authorized official.

NPPES Registry Identity

NPI1164131603
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameKATIE UGOLINI PHD LLC
Location Address16110 SW REGATTA LNBeaverton, OR 97006-8942
Mailing Address5620 Ne 25th AvePortland, OR 97211-6106 · (503) 449-9690 · Fax (503) 536-6794
Phone(503) 617-6810
Fax(503) 536-6794
Organization SubpartNo
Authorized OfficialKathleen Anne UgoliniOwner · (503) 617-6810
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
✔ NPI 1164131603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
16110 SW REGATTA LN, Beaverton, OR 97006
Open in Google Maps ↗

Other Identifiers 1

Other1346267184OR · Individual Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Ugolini Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Katie Ugolini Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katie Ugolini, PHD
Clinical Psychologist
NPI 1346267184
16110 SW REGATTA LN
Beaverton, OR 97006
(503) 617-6810
✔ PECOS✔ Accepts MedicareSame address

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

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 Katie Ugolini Phd LLC's NPI number?

The NPI number for Katie Ugolini Phd LLC is 1164131603. It was assigned to this organization in the NPPES registry on November 22, 2022.

Where is Katie Ugolini Phd LLC located?

Katie Ugolini Phd LLC is located at 16110 SW Regatta Ln, Beaverton, OR 97006. The listed phone number is (503) 617-6810.

What is Katie Ugolini Phd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Katie Ugolini Phd LLC enrolled in Medicare?

Yes. Katie Ugolini Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Katie Ugolini Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Katie Ugolini Phd LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Katie Ugolini Phd LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Katie Ugolini Phd LLC 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 Katie Ugolini Phd LLC was last updated on November 22, 2022. 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.