Ronald Lloyd Iverson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 25457 Issued in CA

Practice address

2565 Puesta del Sol
Santa Barbara, CA 93105-2936

Phone

(805) 698-1653

Fax

(805) 845-6296

NPI assigned

Feb 4, 2013

Last updated

Feb 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ronald Lloyd Iverson, PHD, Inc

  • Clinical Psychologist
  • Santa Barbara, CA
  • NPI 1649622994
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1881933398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 PUESTA DEL SOL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052936",
            "telephone_number": "805-698-1653",
            "fax_number": "805-845-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 PUESTA DEL SOL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052936",
            "telephone_number": "805-698-1653",
            "fax_number": "805-845-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "RONALD",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Iseler -Mabon, OTR
• Taylor Mark Isenburg, PA-C
• Israel Trujillo MD
• Issels Medical Center
• Janet Noble Iversen, PH.D.
• J Ilvento, M.D. & J Dean, M.D., Inc.
• Jackson & Engberg Medical Corporation (Jackson Medical Group Inc)
• April Kellie Jackson, MA, LMFT
• Camille Jackson
• Catherine Jackson, NP

• Clinical Psychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.