Individual provider Active NPI

John Ramirez, PH.D

  • Psychologist
  • Harrisburg, PA
National Provider Identifier
1730265398
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-007949-L Issued in PA
Practice address
4807 Jonestown Rd Ste 250
Harrisburg, PA 17109-1744
Phone
(717) 545-5800
Fax
(717) 545-5800
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-007949-L PA Primary

Addresses

Primary practice location

4807 Jonestown Rd Ste 250
Harrisburg, PA 17109-1744

Mailing address

4807 Jonestown Rd Ste 250
Harrisburg, PA 17109-1744
Phone (717) 545-5800

Other identifiers 1

IdentifierTypeStateIssuer
PS-007949-LOtherPALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000640 PA Practitioner - Clinical Psychologist 1052479052 Practice locations: Harrisburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Michigan Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4807 Jonestown Rd
Suite 250
Harrisburg, PA 17109-1744
Phone (717) 545-5800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS-007949-LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Psychologists, Inc PastSince Jan 11, 2015 Accepting new patients

Organizations & group practices 1

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1730265398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 JONESTOWN RD STE 250",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091744",
            "telephone_number": "717-545-5800",
            "fax_number": "717-545-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 JONESTOWN RD STE 250",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091744",
            "telephone_number": "717-545-5800",
            "fax_number": "717-545-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-007949-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PS-007949-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.