Active NPI
Meryl Dohrmann, PH.D
- Psychologist
- La Junta, CO
National Provider Identifier
1033397351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4267
- Practice address
- 318 Lacey Ave
La Junta, CO 81050-2039 - Phone
- (719) 384-0303
- Fax
- (719) 384-1033
- NPI assigned
- Feb 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1321 | CO | |
| Counseling Psychologist | 103TC1900X | PSY.0004267 | CO | |
| Psychologist | 103T00000X | 4267 | CO | Primary |
Addresses
Primary practice location
318 Lacey Ave
La Junta, CO 81050-2039
Mailing address
220 Ruskin Dr
Colorado Springs, CO 80910-2522
Phone (719) 572-6150
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.ryonmedical.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191011002035 | CO | Practitioner - Clinical Psychologist | 4082945654 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ryon Medical and Associates, LLC
Practice addresses (Care Compare)
318 Lacey Ave
La Junta, CO 81050-2039
Phone (719) 384-0303
318 Lacy St
La Junta, CO 81050-2039
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4267 | CO | MD | Professional Counselor |
| PSY.0004267 | CO | MD | Counseling Psychologist |
| 1321 | CO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryon Medical & Associates, LLC | Current | Accepting new patients |
Locations
318 Lacey Ave
La Junta, CO 81050
Phone (719) 384-0303
1420 E 3rd St
La Junta, CO 81050
Phone (719) 384-0303
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1033397351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 RUSKIN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809102522",
"telephone_number": "719-572-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 LACEY AVE",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810502039",
"telephone_number": "719-384-0303",
"fax_number": "719-384-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHRMANN",
"first_name": "MERYL",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-08",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "1321",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "PSY.0004267",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "4267",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.ryonmedical.com",
"affiliation": "N",
"address_1": "318 Lacey Ave",
"city": "LA Junta",
"state": "CO",
"country_code": "US",
"postal_code": "810502039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Junta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.