Active NPI
Ryan Lee Skelton, PSY. D.
- Cognitive & Behavioral Psychologist
- Gresham, OR
National Provider Identifier
1245554567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 1911
- Practice address
- 123 E Powell Blvd
305
Gresham, OR 97030-7624 - Phone
- (503) 789-9394
- NPI assigned
- Mar 15, 2010
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 1911 | OR | Primary |
Addresses
Primary practice location
123 E Powell Blvd
305
Gresham, OR 97030-7624
Mailing address
123 E Powell Blvd
305
Gresham, OR 97030-7624
Phone (503) 789-9394
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1911 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1245554567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E POWELL BLVD",
"address_2": "305",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307624",
"telephone_number": "503-789-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E POWELL BLVD",
"address_2": "305",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307624",
"telephone_number": "503-789-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELTON",
"first_name": "RYAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-15",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OR",
"license": "1911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.