Richard M Ostrom, Psy.D. LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2822 Issued in WA

Legal business name

RICHARD M OSTROM, PSY.D. LLC

Practice address

8390 W Gage Blvd
Suite # 213
Kennewick, WA 99336-8105

Phone

(509) 783-0990

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard M Ostrom, PSY.D.

Title

President/Owner

Phone

(509) 783-0990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1902248396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W GAGE BLVD",
            "address_2": "SUITE # 213",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368105",
            "telephone_number": "509-783-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W GAGE BLVD",
            "address_2": "SUITE # 213",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368105",
            "telephone_number": "509-783-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M OSTROM, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "OSTROM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "509-783-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.