DR. ASHLEY ELIZABETH BORDELON PH.D.
NPI 1720138019
Psychologist - Clinical Child & Adolescent in Klamath Falls, OR

Q: What is Ashley Bordelon's NPI number?

The NPI number for Ashley Bordelon is 1720138019. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Ashley Bordelon's specialty?

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

Q: Is Ashley Bordelon enrolled in Medicare?

No. Ashley Bordelon has opted out of Medicare through September 6, 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 Ashley Bordelon was last updated on June 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 11, 2007Opted out of Medicare · through Sep 6, 2027

501 MAIN ST STE 202, KLAMATH FALLS, OR 97601(541) 891-7823(844) 955-2526 Get Directions Write a Review

NPPES record last updated: June 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Ashley Elizabeth Bordelon Ph.d. NPPES

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

DR. ASHLEY ELIZABETH BORDELON PH.D. (NPI 1720138019) is an individual clinical child & adolescent provider in Klamath Falls, Oregon, licensed in Oregon (3201) and active in the NPI registry since January 2007. She has opted out of Medicare through September 6, 2027 and maintains a secondary practice location in Gulfport.

NPPES Registry Identity

NPI1720138019

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. ASHLEY ELIZABETH BORDELONCredential: PH.D.

Location Address501 MAIN ST STE 202Klamath Falls, OR 97601-6035

Mailing Address501 Main St Ste 202Klamath Falls, OR 97601-6035 · (541) 891-7823 · Fax (844) 955-2526

Phone(541) 891-7823

Fax(844) 955-2526

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJune 28, 2020

NPPES CertifiedJune 28, 2020

✔ NPI 1720138019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in OR · 3201

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

501 MAIN ST STE 202, Klamath Falls, OR 97601

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Secondary Practice Location 1

Location 11600 Broad AveGulfport, MS 39501-3603 · Phone (228) 863-1132 · Fax (228) 865-1700

Other Identifiers 1

Medicaid00018213MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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. Ashley Elizabeth Bordelon 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 6, 2023 through September 6, 2027.

Opt-Out Effective DateSeptember 6, 2023

Opt-Out In Effect ThroughSeptember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Ashley Bordelon's NPI number?

The NPI number for Ashley Bordelon is 1720138019. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Ashley Bordelon located?

Ashley Bordelon practices at 501 Main St Ste 202, Klamath Falls, OR 97601. The listed phone number is (541) 891-7823.

What is Ashley Bordelon's specialty?

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

Is Ashley Bordelon enrolled in Medicare?

No. Ashley Bordelon has opted out of Medicare through September 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ashley Bordelon accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ashley Bordelon 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 Ashley Bordelon was last updated on June 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.