1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Psychologist
  6. NPI Profile

DR. RANDI ANN PHELPS PHD
NPI 1649945163
Psychologist - Clinical Child & Adolescent in Portland, OR

Active since August 16, 2021PECOS Enrolled
707 SW GAINES ST, PORTLAND, OR 97239(503) 346-0640 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Randi Ann Phelps Phd NPPES

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

DR. RANDI ANN PHELPS PHD (NPI 1649945163) is an individual clinical child & adolescent provider in Portland, Oregon and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649945163
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. RANDI ANN PHELPSCredential: PHD
Location Address707 SW GAINES STPortland, OR 97239-2901
Mailing Address707 Sw Gaines StPortland, OR 97239-2901
Phone(503) 346-0640
Sole ProprietorNo
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1649945163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
707 SW GAINES ST, Portland, OR 97239
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randi Ann Phelps 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 Randi Phelps reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Medical Group
989 mi
Multi-Specialty
20325 N 51ST AVE, STE 116
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1679703441 (602) 933-0003

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 20

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

MS. MARGARET WOLF
Occupational Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8095
MRS. LEAH BJORNSKOV WESSENBERG FNP
Nurse Practitioner (Family)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-7859
DR. MICHAEL AVRAM HARRIS PH.D.
Psychologist (Clinical Child & Adolescent)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8942
DANIELLE MOYER PHD
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-6337
DAVID L. OLESON PT
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (800) 452-3563
DR. DIANA VAZQUEZ DUQUE PHD
Counselor (Mental Health)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-0199
JESSICA NASON
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (860) 917-2128
UNIVERSITY PROFESSIONAL SERVICES
Clinic/Center (Multi-Specialty)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-9000

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 Randi Phelps's NPI number?

The NPI number for Randi Phelps is 1649945163. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Randi Phelps located?

Randi Phelps practices at 707 SW Gaines St, Portland, OR 97239. The listed phone number is (503) 346-0640.

What is Randi Phelps's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Randi Phelps enrolled in Medicare?

Yes. Randi Phelps is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randi Phelps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randi Phelps reassigns Medicare benefits to Phoenix Children's Medical Group (Glendale, AZ). 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 Randi Phelps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randi Phelps accept?

Health plans from Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Randi Phelps 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 Randi Phelps was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.