DR. JEANNE RENEE TATE PSYD
NPI 1780026799
Psychologist in Portland, OR

Active since July 19, 2013PECOS Enrolled
90.17/100
CMS Quality Rating
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-7151(503) 413-8130 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeanne Renee Tate Psyd NPPES

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

DR. JEANNE RENEE TATE PSYD (NPI 1780026799) is an individual psychologist in Portland, Oregon, licensed in Oregon (2820) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780026799
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JEANNE RENEE TATECredential: PSYD
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing AddressPo Box 4037Portland, OR 97208-4037 · (503) 413-4048 · Fax (503) 413-2910
Fax(503) 413-8130
Sole ProprietorNo
Enumeration DateJuly 19, 2013
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1780026799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 2820
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.
1015 NW 22ND AVE, Portland, OR 97210

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 (PECOS)

Dr. Jeanne Renee Tate Psyd 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 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.

90.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.39
Promoting Interoperability100
Improvement Activities40
Cost66.59

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.

Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210

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 Jeanne Tate's NPI number?

The NPI number for Jeanne Tate is 1780026799. It was assigned to this individual provider in the NPPES registry on July 19, 2013.

Where is Jeanne Tate located?

Jeanne Tate practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7151.

What is Jeanne Tate's specialty?

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

Is Jeanne Tate enrolled in Medicare?

Yes. Jeanne Tate is registered in the Medicare PECOS enrollment system.

What insurance does Jeanne Tate accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jeanne Tate 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 Jeanne Tate was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.