Active NPI
Ronald K. Hougen, PH.D.
- Psychologist
- Decorah, IA
National Provider Identifier
1275537623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00864
- Practice address
- 901 Montgomery St
Decorah, IA 52101-2325 - Phone
- (563) 382-2911
- Fax
- (563) 387-3102
- NPI assigned
- Jun 13, 2005
- Last updated
- Jan 22, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 00864 | IA | Primary |
Addresses
Primary practice location
901 Montgomery St
Decorah, IA 52101-2325
Mailing address
306 Terrace St
Decorah, IA 52101-2262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0466334 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients |
Locations
901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911
114 Fisher Ave
Ossian, IA 52161
Phone (563) 532-9440
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
Interoperability endpoints
- rhougen115296@uihcdirect.org
Organizations & group practices 3
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.
-
dba WinnMed Decorah Clinic
- Multi-Specialty Clinic/Center
- Decorah, IA
- NPI 1992854863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1275537623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 TERRACE ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911",
"fax_number": "563-387-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGEN",
"first_name": "RONALD",
"middle_name": "K.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "00864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0466334",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.