Dr. Sanderson and Associates, LLC
NPI 1124652821ActiveOrganization· Psychologist· Tigard, OR
Psychologist in Tigard, Oregon, registered in NPPES in March 2020. The authorized official on file is Tara Sanderson, PSYD, MBA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124652821 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2020 |
| Last updated in NPPES | Sep 18, 2024 |
| Certified by provider | Sep 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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