DR. RANDY OLANDER (PSYCHOLOGIST) – Mental Health Counselor, NPI 1013244599

DR. RANDY OLANDER (PSYCHOLOGIST) is a healthcare provider. based in Roseburg, Oregon. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYCHOLOGIST. They hold a License No. 2748 (OR). The NPI Number for DR. RANDY OLANDER (PSYCHOLOGIST) is 1013244599

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY OLANDER (PSYCHOLOGIST)
NPI
1013244599
Phone
(541) 957-5646
Address
545 W Umpqua St
Enumeration Date
4 November 2009
Last Update Date
8 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8778406956
Graduation Year
2003 (23 years ago)
PAC ID
6608232392
Group Practice PAC ID
9739575648
Professional Enrollment ID
I20230523001522
Address ID
OR972131468PO1827XAVEX401

Contacts

Main Contact
phdforlife@gmail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

647 CLINICAL PSYCHOLOGIST in OR

Provider Addresses for DR. RANDY OLANDER (PSYCHOLOGIST)

  • 545 W Umpqua St

    Suite 1

    Roseburg, OR 974712972

    Phone: (541) 957-5646

    Fax: (541) 957-0191

    Type: Location

  • West Umpqua Street, Roseburg, Douglas County, Oregon, 97471, United States

    SUITE 1

    ROSEBURG, OR 974712979

    Phone: (541) 957-5646

    Fax: (541) 957-0191

    Type: Mailing

  • 2260 NW CALKINS AVE

    ROSEBURG, OR 974711800

    Phone: (541) 680-1231

    Fax: (541) 680-1231

    Type: Mailing

  • 545, West Umpqua Street, Roseburg, Douglas County, Oregon, 97471, United States

    SUITE 1

    ROSEBURG, OR 974712972

    Phone: (541) 957-5646

    Fax: (541) 957-0191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230523001522IClinical PsychologistORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97471)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739575648View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Mental Health CounselorOR
Mental Health CounselorWA
Clinical PsychologistOR
Clinical Social WorkerCO
Clinical Social WorkerOR
Mental Health CounselorCO
Clinical Social WorkerAK
Nurse PractitionerTN
Mental Health CounselorTX

Reviews

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Frequently asked questions

Is there an official ID for DR. RANDY OLANDER (PSYCHOLOGIST) in U.S. healthcare records?
The official identifier for DR. RANDY OLANDER (PSYCHOLOGIST) is NPI 1013244599.
Is DR. RANDY OLANDER (PSYCHOLOGIST) still an active registrant?
DR. RANDY OLANDER (PSYCHOLOGIST) carries an active NPI according to the public dataset.
What area of care is associated with DR. RANDY OLANDER (PSYCHOLOGIST)?
DR. RANDY OLANDER (PSYCHOLOGIST)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is DR. RANDY OLANDER (PSYCHOLOGIST) located near Roseburg?
DR. RANDY OLANDER (PSYCHOLOGIST) currently maps to Roseburg, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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