Individual provider Active NPI

Meryl Dohrmann, PH.D

  • Psychologist
  • La Junta, CO
National Provider Identifier
1033397351
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4267 Issued in CO
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

Updated by the provider on Oct 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 3 clinicians

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

LicenseStateTypeSpecialty
4267COMDProfessional Counselor
PSY.0004267COMDCounseling Psychologist
1321COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ryon Medical & Associates, LLC CurrentSince Oct 1, 2019 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

Verify at the official NPI Registry.