DR. MIRIAM JOY ANDERSON PH.D.
NPI 1407002850
Psychologist - Clinical in Portland, OR

Q: What is Miriam Anderson's NPI number?

The NPI number for Miriam Anderson is 1407002850. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Q: What is Miriam Anderson's specialty?

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

Q: Is Miriam Anderson enrolled in Medicare?

No. Miriam Anderson has opted out of Medicare through September 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Miriam Anderson was last updated on October 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 15, 2008Opted out of Medicare · through Sep 27, 2027

516 SE MORRISON ST STE 1110, PORTLAND, OR 97214(503) 222-0707 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Miriam Joy Anderson Ph.d. NPPES

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

DR. MIRIAM JOY ANDERSON PH.D. (NPI 1407002850) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2286) and active in the NPI registry since August 2008. She has opted out of Medicare through September 27, 2027.

NPPES Registry Identity

NPI1407002850

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MIRIAM JOY ANDERSONCredential: PH.D.

Location Address516 SE MORRISON ST STE 1110Portland, OR 97214-2390

Mailing Address516 Se Morrison St Ste 1110Portland, OR 97214-2390 · (503) 222-0707

Phone(503) 222-0707

Sole ProprietorNo

Enumeration DateAugust 15, 2008

Last NPPES UpdateOctober 15, 2013

✔ NPI 1407002850 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 · 2286

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.

516 SE MORRISON ST STE 1110, Portland, OR 97214

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Miriam Joy Anderson Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 27, 2021 through September 27, 2027.

Opt-Out Effective DateSeptember 27, 2021

Opt-Out In Effect ThroughSeptember 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

NICOLE HOLTON, DC, PC

Chiropractor

516 SE MORRISON ST STE 1110
PORTLAND, OR 97214

Multnomah County (503) 236-9609

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 Miriam Anderson's NPI number?

The NPI number for Miriam Anderson is 1407002850. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Where is Miriam Anderson located?

Miriam Anderson practices at 516 SE Morrison St Ste 1110, Portland, OR 97214. The listed phone number is (503) 222-0707.

What is Miriam Anderson's specialty?

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

Is Miriam Anderson enrolled in Medicare?

No. Miriam Anderson has opted out of Medicare through September 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Miriam Anderson was last updated on October 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.