Individual provider Active NPI

Ronald Gerald Dalrymple, P.H.D

  • Psychologist
  • N Fort Myers, FL
National Provider Identifier
1629062112
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0006631 Issued in FL
Practice address
13180 N Cleveland Ave Ste 312
N Fort Myers, FL 33903-6231
Phone
(239) 887-8999
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3006 CO
Psychologist 103T00000X PY0006631 FL Primary

Addresses

Primary practice location

13180 N Cleveland Ave Ste 312
N Fort Myers, FL 33903-6231

Mailing address

PO Box 4466
Fort Myers, FL 33918-4466
Phone (239) 887-8999

Other identifiers 1

IdentifierTypeStateIssuer
73032OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110526000626 FL Practitioner - Clinical Psychologist 3870514920 Reassigns benefits to 1 organization
I20211102000637 TX Practitioner - Clinical Psychologist 3870514920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13180 N Cleveland Ave
Suite 312
North Fort Myers, FL 33903-6231
Phone (239) 887-8999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3006COMDMental Health Counselor
PY0006631FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Oct 4, 2021 Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1629062112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4466",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339184466",
            "telephone_number": "239-887-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 N CLEVELAND AVE STE 312",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339036231",
            "telephone_number": "239-887-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALRYMPLE",
        "first_name": "RONALD",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "P.H.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3006",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0006631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "73032",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.