Rick Pongratz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-202289 Issued in ID

Practice address

1138 N Gale Mountain Rd
Pocatello, ID 83204-7238

Phone

(208) 220-1974

NPI assigned

Feb 3, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Rick Pongratz, PHD, PLLC

  • Clinical Psychologist
  • Pocatello, ID
  • NPI 1821802810
  NPD Authorized official

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1831903822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 N GALE MOUNTAIN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832047238",
            "telephone_number": "208-220-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N GALE MOUNTAIN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832047238",
            "telephone_number": "208-220-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONGRATZ",
        "first_name": "RICK",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "PSY-202289",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-202289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pocatello Podiatry Associates PA (Ambulatory Foot and Ankle Clinic)
• Pocatello Pulmonary PC
• Pocatello Rehabilitation PA
• Pocatello Wellness Clinic, LLC
• Jacie Jean Pollard, M.S., CCC-SLP
• Justin C Pool, PA-C
• Ryan Pope, DPT
• Bonnie Porter, BA
• John C Porter, NP-C
• Portneuf ASC, LLC

• Clinical Psychologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.