Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Andersen, PHD

Individual provider Clinical Psychologist · NPI 1306652110

Blake Andersen, PHD is a Clinical Psychologist in Central Point, Oregon. Qualified in 1995, 31 years ago. Practices with Providence Health and Services Oregon, a 164-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
31
Licensed in
OR
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

870 S Frnt ST Ste 200
Central Point, OR 97502-2779
Phone: (541) 732-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3910 (OR)

Record details

NPI number1306652110
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address711 Medford Ctr # 132, Medford, OR 97504-6772

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Providence Health And Services Oregon — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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