TENI DAVOUDIAN PH.D., ABPP
NPI 1710362074
Psychologist - Health in Portland, OR
About Teni Davoudian Ph.d., Abpp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TENI DAVOUDIAN PH.D., ABPP (NPI 1710362074) is an individual health provider in Portland, Oregon, licensed in Oregon (2557) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teni Davoudian Ph.d., Abpp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Teni Davoudian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Teni Davoudian's NPI number?
The NPI number for Teni Davoudian is 1710362074. It was assigned to this individual provider in the NPPES registry on July 28, 2015.
Where is Teni Davoudian located?
Teni Davoudian practices at 3181 SW Sam Jackson Park Rd # Kpv7c, Portland, OR 97239. The listed phone number is (503) 418-4500.
What is Teni Davoudian's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.
Is Teni Davoudian enrolled in Medicare?
Yes. Teni Davoudian is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Teni Davoudian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teni Davoudian reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). 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 Teni Davoudian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Teni Davoudian accept?
Health plans from Cigna Healthcare, Moda Health Plan, Inc. and Oscar Insurance Company list Teni Davoudian 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 Teni Davoudian was last updated on March 5, 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.
# Teni Davoudian, PH.D., ABPP · NPI 1710362074
Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 28, 2015.
## Identity
- **NPI:** 1710362074 (Entity type: Individual)
- **Enumerated:** July 28, 2015
- **Primary specialty:** Psychologist - Health · taxonomy 103TH0004X
- **State license:** 2557 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD # KPV7C, Portland, OR 97239-3011
- **Phone:** (503) 418-4500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Texas Children's Physician Group (NPI 1861675506, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1710362074) · Data from the CMS NPPES public registry.