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LYDIA HOGAN PSYD
NPI 1205428174
Clinical Neuropsychologist in Portland, OR

Active since February 10, 2021PECOS Enrolled
4640 S MACADAM AVE STE 90, PORTLAND, OR 97239(503) 292-0765 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2026, Jan 12, 2026, Dec 30, 2025 and 1 more (4 updates tracked since 2021).

About Lydia Hogan Psyd NPPES

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

LYDIA HOGAN PSYD (NPI 1205428174) is an individual clinical neuropsychologist in Portland, Oregon, licensed in Oregon (4122) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205428174
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameLYDIA HOGANCredential: PSYD
Location Address4640 S MACADAM AVE STE 90Portland, OR 97239-4285
Mailing Address14490 Se Wy East AveDamascus, OR 97089-7817 · (971) 221-0940
Phone(503) 292-0765
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 10, 2021
Last NPPES UpdateApril 3, 20264 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1205428174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in OR · 4122
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4122 (OR)
4640 S MACADAM AVE STE 90, Portland, OR 97239
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Hogan Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981184678
PECOS Enrollment IDI20260212001996
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 Lydia Hogan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Progressive Rehabilitation Associates LLC
Same address
Clinic/Center
4640 S MACADAM AVE STE 90
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 23 clinicians in this Medicare group
NPI 1790760908 (503) 292-0765

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIDY ALLISON PERRY M.S. CCC-SLP
Speech-Language Pathologist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
AMY MANGUM LOTR
Occupational Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
CECILIA ISMARI
Physical Therapist (Neurology)
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
MS. LYDIA ANNE HILLER M.S., CCC-SLP
Speech-Language Pathologist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
LAURA B. O'CONNOR PSY. D., MFT, BCBA
Psychologist (Clinical)
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
MIA CYWINSKI M.S. CCC-SLP
Speech-Language Pathologist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
BRITTANY VICTORIA DICKASON PT, DPT
Physical Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-0765
SILAS MCCUISTON
Recreation Therapist
4640 S MACADAM AVE STE 90
PORTLAND, OR 97239
Multnomah County (503) 292-5208

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 Lydia Hogan's NPI number?

The NPI number for Lydia Hogan is 1205428174. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Lydia Hogan located?

Lydia Hogan practices at 4640 S Macadam Ave Ste 90, Portland, OR 97239. The listed phone number is (503) 292-0765.

What is Lydia Hogan's specialty?

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

Is Lydia Hogan enrolled in Medicare?

Yes. Lydia Hogan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lydia Hogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Hogan reassigns Medicare benefits to Progressive Rehabilitation Associates LLC (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 Lydia Hogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Hogan accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Lydia Hogan 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 Lydia Hogan was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.