Active NPI
Ronald O. Powell, PHD
- Psychologist
- Redmond, WA
National Provider Identifier
1083767495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00001122
- Practice address
- 8201 164TH Ave NE
Suite 200
Redmond, WA 98052-7615 - Phone
- (425) 214-3609
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00001122 | WA | Primary |
Addresses
Primary practice location
8201 164TH Ave NE
Suite 200
Redmond, WA 98052-7615
Mailing address
8201 164TH Ave NE
Suite 200
Redmond, WA 98052-7615
Phone (425) 214-3609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083767495 | Other | WA | NATIONAL PLAN AND PROVIDER ENUMERATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10810 177TH CT NE
Redmond, WA 98052-7213
Phone (425) 802-1990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
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.
-
- Community/Behavioral Health Agency
- Redmond, WA
- NPI 1275923534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1083767495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 164TH AVE NE",
"address_2": "SUITE 200",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527615",
"telephone_number": "425-214-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 164TH AVE NE",
"address_2": "SUITE 200",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527615",
"telephone_number": "425-214-3609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "RONALD",
"middle_name": "O.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00001122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PLAN AND PROVIDER ENUMERATION",
"identifier": "1083767495",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.