Individual provider Active NPI

Ronald Dean Duvall, PHD

  • Clinical Psychologist
  • Newport, OR
National Provider Identifier
1396725164
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
426 Issued in OR
Practice address
407 N Coast Hwy
Suite 100-a
Newport, OR 97365-3115
Phone
(541) 272-5066
Fax
(541) 272-5067
NPI assigned
Jan 18, 2006
Last updated
Jul 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 426 OR
Clinical Psychologist 103TC0700X 426 OR Primary
Forensic Psychologist 103TF0200X 426 OR

Addresses

Primary practice location

407 N Coast Hwy
Suite 100-a
Newport, OR 97365-3115

Mailing address

407 N Coast Hwy
Suite 100a
Newport, OR 97365-3115
Phone (541) 272-5006

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1396725164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N COAST HWY",
            "address_2": "SUITE 100A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653115",
            "telephone_number": "541-272-5006",
            "fax_number": "541-272-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N COAST HWY",
            "address_2": "SUITE 100-A",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653115",
            "telephone_number": "541-272-5066",
            "fax_number": "541-272-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "RONALD",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "426",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "426",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OR",
            "license": "426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.