DR. VICTORIA JANE RAVENSBERG PSY.D.
NPI 1982755716
Psychologist - Clinical in Tigard, OR

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
14050 SW PACIFIC HWY, SUITE 210, TIGARD, OR 97224(503) 536-3855(503) 670-1034 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Victoria Jane Ravensberg Psy.d. NPPES

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

DR. VICTORIA JANE RAVENSBERG PSY.D. (NPI 1982755716) is an individual clinical provider in Tigard, Oregon, licensed in Oregon (1740) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1982755716
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VICTORIA JANE RAVENSBERGCredential: PSY.D.
Location Address14050 SW PACIFIC HWY, SUITE 210Tigard, OR 97224-4890
Mailing Address14050 Sw Pacific Hwy, Suite 210Tigard, OR 97224-4890 · (503) 536-3855 · Fax (503) 670-1034
Fax(503) 670-1034
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJanuary 4, 2012
✔ NPI 1982755716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 1740
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
14050 SW PACIFIC HWY, Tigard, OR 97224

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Victoria Jane Ravensberg Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648645630
PECOS Enrollment IDI20230404002711
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

2

Medicare enrollment records show Victoria Ravensberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1015 NW 22ND AVE
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 387 clinicians in this Medicare group
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Victoria Ravensberg's NPI number?

The NPI number for Victoria Ravensberg is 1982755716. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Victoria Ravensberg located?

Victoria Ravensberg practices at 14050 SW Pacific Hwy Suite 210, Tigard, OR 97224. The listed phone number is (503) 536-3855.

What is Victoria Ravensberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Victoria Ravensberg enrolled in Medicare?

Yes. Victoria Ravensberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Victoria Ravensberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Ravensberg reassigns Medicare benefits to 2 organizations: Legacy Good Samaritan Hospital And Medical Center (Portland, OR) and Legacy Emanuel Hospital & Health Center (Portland, 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 Victoria Ravensberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victoria Ravensberg accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Victoria Ravensberg 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.

Is Victoria Ravensberg affiliated with any hospitals?

According to CMS data, Victoria Ravensberg is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Victoria Ravensberg was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.