Active NPI
Joshua James Ahles, PHD
- Clinical Psychologist
- Issaquah, WA
National Provider Identifier
1699272203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60992373
- Practice address
- 1740 NW Maple St Ste 210
Issaquah, WA 98027-8127 - Phone
- (206) 486-2577
- NPI assigned
- Apr 10, 2018
- Last updated
- Mar 17, 2023
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60992373 | WA | Primary |
Addresses
Primary practice location
1740 NW Maple St Ste 210
Issaquah, WA 98027-8127
Mailing address
1740 NW Maple St Ste 210
Issaquah, WA 98027-8127
Phone (406) 270-8382
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60992373 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1699272203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 NW MAPLE ST STE 210",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278127",
"telephone_number": "406-270-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 NW MAPLE ST STE 210",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278127",
"telephone_number": "206-486-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHLES",
"first_name": "JOSHUA",
"middle_name": "JAMES",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60992373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.