DR. CONSTANCE ELDRIDGE PEDERSON PH.D.
NPI 1548460637
Psychologist in Portland, OR

Active since July 18, 2007PECOS EnrolledAccepts Medicare Assignment
3939 NE HANCOCK ST STE 301, PORTLAND, OR 97212(503) 287-4426(503) 284-6051 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2025, Nov 30, 2021 (2 updates tracked since 2021).

About Dr. Constance Eldridge Pederson Ph.d. NPPES

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

DR. CONSTANCE ELDRIDGE PEDERSON PH.D. (NPI 1548460637) is an individual psychologist in Portland, Oregon, licensed in Oregon (1070) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1548460637
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CONSTANCE ELDRIDGE PEDERSONCredential: PH.D.
Location Address3939 NE HANCOCK ST STE 301Portland, OR 97212-5321
Mailing Address10117 Se Sunnyside Rd # F1217Clackamas, OR 97015-7708 · (503) 740-1971 · Fax (503) 284-6051
Fax(503) 284-6051
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 18, 2007
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1548460637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 1070
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License T-24-4310 (OR)
3939 NE HANCOCK ST STE 301, Portland, OR 97212

Other Identifiers 2

Medicaid500645278OR
Other12322686OR · Caqh

Accepted 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

Dr. Constance Eldridge Pederson Ph.d. 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 ID8729247283
PECOS Enrollment IDI20120302000356
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.

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 Constance Pederson's NPI number?

The NPI number for Constance Pederson is 1548460637. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Constance Pederson located?

Constance Pederson practices at 3939 NE Hancock St Ste 301, Portland, OR 97212. The listed phone number is (503) 287-4426.

What is Constance Pederson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Constance Pederson enrolled in Medicare?

Yes. Constance Pederson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Constance Pederson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Constance Pederson 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 Constance Pederson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.