Joel Edgar Ashby, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001199 Issued in IA

Practice address

5415 NW 88TH St
100
Johnston, IA 50131-2950

Phone

(626) 377-6844

NPI assigned

Dec 15, 2010

Last updated

Aug 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 13, 2017 through Apr 13, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashby Psychological Services, Inc

  • Clinical Psychologist
  • Johnston, IA
  • NPI 1013647684
  NPD Authorized official
• Jra

  • Clinical Psychologist
  • Johnston, IA
  • NPI 1205116712
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1083917843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 NW 88TH ST",
            "address_2": "100",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312950",
            "telephone_number": "626-377-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 NW 88TH ST",
            "address_2": "100",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312950",
            "telephone_number": "626-377-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "JOEL",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001199",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arc Ia LLC
• Diana Olivia Arellano
• David Garth Aschoff IX
• Ashby Psychological Services, Inc
• Edgar Ashby, LMHC
• Patricia Ashby
• Aspire Counseling and Therapy Services LLC
• Authentic Life Counseling Services, Inc
• Jamie Marie Avendt
• Shaylee Backer

• Clinical Psychologist in Johnston, IA
• Providers in Johnston, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.