Individual provider Active NPI

Ashley Nicole Ramsdale, PSYD

  • Clinical Psychologist
  • Medical Lake, WA
National Provider Identifier
1659128783
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY61088938 Issued in WA
Practice address
850 W Maple St
Medical Lake, WA 99022-5139
Phone
(509) 565-4000
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY61088938 WA Primary

Addresses

Primary practice location

850 W Maple St
Medical Lake, WA 99022-5139

Mailing address

4926 Chapel Xing
Douglasville, GA 30135-2646

Other names 1

  • Dr. Ashley Nicole Douroux Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1659128783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 CHAPEL XING",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W MAPLE ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990225139",
            "telephone_number": "509-565-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSDALE",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61088938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DOUROUX",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medical Lake, WA

Sources for this page

Verify at the official NPI Registry.