Ronald O Powell PHD PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY00001122 Issued in WA

Legal business name

RONALD O POWELL PHD PLLC

Practice address

8201 164TH Ave NE Ste 200
Redmond, WA 98052-7615

Phone

(425) 214-3609

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Roald O Powell, PHD

Title

Owner

Phone

(425) 214-3609

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald O. Powell, PHD

  • Psychologist
  • Redmond, WA
  • NPI 1083767495
  Medicare reassignment

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1275923534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 164TH AVE NE STE 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 STE 200",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527615",
            "telephone_number": "425-214-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD O POWELL PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ROALD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-214-3609",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "PY00001122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN AND PROVIDER ENUMERATION",
            "identifier": "1275923534",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenyon B Roll, PT
• Zach Rollins, LMT
• Felicia Cranford Roman
• Kyleen Romero
• Ronald H. Ellingsen, PLLC
• Bryan K Roos, DMD, MSD, MS, PS
• John W. Roper, M.D.
• Aliana Rosa Velazquez, ND, LAC
• Charlette Rose, L.M.P. L.AC
• Roselind Nam PLLC

• Community/Behavioral Health Agency in Redmond, WA
• Providers in Redmond, WA by specialty
• Community/Behavioral Health Agency in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.