DR. ELISA A RUDD PSY.D.
NPI 1821413444
Psychologist in Portland, OR

Active since February 19, 2014PECOS Enrolled
2400 SW VERMONT ST, PORTLAND, OR 97219(503) 853-1196 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Elisa A Rudd Psy.d. NPPES

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

DR. ELISA A RUDD PSY.D. (NPI 1821413444) is an individual psychologist in Portland, Oregon and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821413444
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELISA A RUDDCredential: PSY.D.
Location Address2400 SW VERMONT STPortland, OR 97219-1940
Mailing Address255 Nw 116th Ave Apt 402Portland, OR 97229-6099 · (503) 853-1196
Sole ProprietorYes
Enumeration DateFebruary 19, 2014
Last NPPES UpdateApril 5, 2016
✔ NPI 1821413444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
2400 SW VERMONT ST, Portland, OR 97219

Other Identifiers 1

OtherR185947OR · Medicare Ptan

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)

Dr. Elisa A Rudd Psy.d. 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 Reassignments

3

Medicare enrollment records show Elisa Rudd reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sports Medicine
909 SW 18TH AVE
Portland, OR 97205
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
Rural Health
171 N LARCH ST STE 16
Cannon Beach, OR 97110
  • Reassigned Medicare billing, Oregon enrollment
  • 301 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.

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
2400 SW VERMONT ST
PORTLAND, OR 97219
Internal Medicine
2400 SW VERMONT ST
PORTLAND, OR 97219
Internal Medicine
2400 SW VERMONT ST
PORTLAND, OR 97219
Pediatrics (Neonatal-Perinatal Medicine)
2400 SW VERMONT ST
PORTLAND, OR 97219
Social Worker (Clinical)
2400 SW VERMONT ST
PORTLAND, OR 97219
Internal Medicine
2400 SW VERMONT ST
PORTLAND, OR 97219
Internal Medicine
2400 SW VERMONT ST
PORTLAND, OR 97219
Nurse Practitioner
2400 SW VERMONT ST
PORTLAND, OR 97219

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 Elisa Rudd's NPI number?

The NPI number for Elisa Rudd is 1821413444. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Where is Elisa Rudd located?

Elisa Rudd practices at 2400 SW Vermont St, Portland, OR 97219. The listed phone number is (503) 853-1196.

What is Elisa Rudd's specialty?

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

Is Elisa Rudd enrolled in Medicare?

Yes. Elisa Rudd is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elisa Rudd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Rudd reassigns Medicare benefits to 3 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR) and Providence Health & Services Oregon (Cannon Beach, OR). Each 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 Elisa Rudd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elisa Rudd accept?

Health plans from Providence Health Plan list Elisa Rudd 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 Elisa Rudd was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.