Individual provider Active NPI

Ryan Frederick Hosley, PSY. D

  • Psychologist
  • Happy Valley, OR
National Provider Identifier
1831426949
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1969 Issued in OR
Practice address
8305 SE Monterey Ave
Suite 220
Happy Valley, OR 97086-7725
Phone
(503) 550-0968
Fax
(503) 476-3164
NPI assigned
Nov 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1969 OR
Psychologist 103T00000X 1969 OR Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 1969 OR
Cognitive & Behavioral Psychologist 103TB0200X 1969 OR
Clinical Child & Adolescent Psychologist 103TC2200X 1969 OR
Group Psychotherapy Psychologist 103TP2701X 1969 OR

Addresses

Primary practice location

8305 SE Monterey Ave
Suite 220
Happy Valley, OR 97086-7725

Mailing address

8305 SE Monterey Ave
Suite #220
Happy Valley, OR 97086-7725
Phone (503) 550-0968

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

State licenses

LicenseStateTypeSpecialty
1969ORMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1831426949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE",
            "address_2": "SUITE #220",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867725",
            "telephone_number": "503-550-0968",
            "fax_number": "503-476-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE",
            "address_2": "SUITE 220",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867725",
            "telephone_number": "503-550-0968",
            "fax_number": "503-476-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSLEY",
        "first_name": "RYAN",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "1969",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1969",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "1969",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OR",
            "license": "1969",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "1969",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "OR",
            "license": "1969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.