Active NPI
Ryan Keith Donovan
- Counseling Psychologist
- Tacoma, WA
National Provider Identifier
1821851601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 917 Pacific Ave Ste 305
Tacoma, WA 98402-4434 - Phone
- (253) 260-1511
- NPI assigned
- Feb 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | WA | Primary |
Addresses
Primary practice location
917 Pacific Ave Ste 305
Tacoma, WA 98402-4434
Mailing address
510 NE 98TH St Apt 203
Seattle, WA 98115-2105
Phone (831) 239-6219
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1821851601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 NE 98TH ST APT 203",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152105",
"telephone_number": "831-239-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 PACIFIC AVE STE 305",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024434",
"telephone_number": "253-260-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "RYAN",
"middle_name": "KEITH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.