ANDREW J RODRIGUEZ PHD
NPI 1245885169
Psychologist - Clinical in Portland, OR

Q: What is Andrew Rodriguez's NPI number?

The NPI number for Andrew Rodriguez is 1245885169. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Q: What is Andrew Rodriguez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Rodriguez was last updated on April 25, 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.

Active since August 07, 2019PECOS Enrolled

9135 SW BARNES RD STE 561, PORTLAND, OR 97225(503) 216-2339 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2020, Aug 4, 2020, Jul 8, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Andrew J Rodriguez Phd NPPES

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

ANDREW J RODRIGUEZ PHD (NPI 1245885169) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3479) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245885169

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameANDREW J RODRIGUEZCredential: PHD

Location Address9135 SW BARNES RD STE 561Portland, OR 97225-6643

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 216-2339

Sole ProprietorNo

Enumeration DateAugust 7, 2019

Last NPPES UpdateApril 25, 20234 updates tracked since enumeration

NPPES CertifiedApril 25, 2023

✔ NPI 1245885169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 3479

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselorTaxonomy 101Y00000X · License LH60955164 (WA)

Also ListedPsychologistTaxonomy 103T00000X · License PY61013442 (WA)

9135 SW BARNES RD STE 561, Portland, OR 97225

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1700 NE 87th Ave Ste 260Vancouver, WA 98664-4896 · Phone (360) 882-2778 · Fax (360) 604-1764

Location 2916 Koala DrOmak, WA 98841-9759 · Phone (509) 663-8711

Other Identifiers 1

Medicaid2138642WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew J Rodriguez Phd 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 Andrew Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services - Oregon

Same address

Obstetrics & Gynecology

9135 SW BARNES RD STE 761
Portland, OR 97225

Reassigned Medicare billing, Oregon enrollment
1,501 clinicians in this Medicare group

NPI 1154427821 (503) 216-2602

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PIDO TRAN MAAS OT

Occupational Therapist