Active NPI
Kevin Ragsdale, PH.D.
- Clinical Psychologist
- Tallahassee, FL
National Provider Identifier
1194863985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0005792
- Practice address
- 1584 Metropolitan Blvd
Suite 101
Tallahassee, FL 32308-3775 - Phone
- (850) 201-8452
- Fax
- (850) 201-8453
- NPI assigned
- Feb 2, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0005792 | FL | Primary |
Addresses
Primary practice location
1584 Metropolitan Blvd
Suite 101
Tallahassee, FL 32308-3775
Mailing address
1584 Metropolitan Blvd
Suite 101
Tallahassee, FL 32308-3775
Phone (850) 201-8452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54392 | Other | FL | BCBSFL PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0005792 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194863985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1584 METROPOLITAN BLVD",
"address_2": "SUITE 101",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323083775",
"telephone_number": "850-201-8452",
"fax_number": "850-201-8453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1584 METROPOLITAN BLVD",
"address_2": "SUITE 101",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323083775",
"telephone_number": "850-201-8452",
"fax_number": "850-201-8453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGSDALE",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0005792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL PROVIDER NUMBER",
"identifier": "54392",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.