BLAKE ANDERSEN PHD
NPI 1306652110
Psychologist - Clinical in Central Point, OR

Q: What is Blake Andersen's NPI number?

The NPI number for Blake Andersen is 1306652110. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Q: What is Blake Andersen'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 Blake Andersen was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since December 06, 2024PECOS EnrolledAccepts Medicare Assignment

870 S FRONT ST STE 200, CENTRAL POINT, OR 97502(541) 732-8000 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Blake Andersen Phd NPPES

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

BLAKE ANDERSEN PHD (NPI 1306652110) is an individual clinical provider in Central Point, Oregon, licensed in Oregon (3910) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1306652110

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameBLAKE ANDERSENCredential: PHD

Location Address870 S FRONT ST STE 200Central Point, OR 97502-2779

Mailing Address711 Medford Ctr # 132Medford, OR 97504-6772

Phone(541) 732-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateDecember 6, 2024

NPPES CertifiedDecember 6, 2024

✔ NPI 1306652110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 3910

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.

870 S FRONT ST STE 200, Central Point, OR 97502

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Andersen Phd 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.

PECOS PAC ID4880120088

PECOS Enrollment IDI20241211003294

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97502 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

$166.64 typical visit price

range $54.96 – $166.64

Typical copayment $41.66 (range $13.74 – $41.66)

Most-billed visit code 99205

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 16

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

EUNBEEN LEE PSYD

Psychologist (Clinical)