Active NPI
Ronald Devere Hilliard, PH.D.
- Psychologist
- West Des Moines, IA
National Provider Identifier
1902835341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 82
- Practice address
- 939 Office Park Rd
Suite 200
West Des Moines, IA 50265-2505 - Phone
- (515) 288-5570
- Fax
- (515) 440-3388
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 82 | IA | Primary |
Addresses
Primary practice location
939 Office Park Rd
Suite 200
West Des Moines, IA 50265-2505
Mailing address
939 Office Park Rd
Suite 200
West Des Moines, IA 50265-2505
Phone (515) 288-5570
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82 | IA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902835341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 OFFICE PARK RD",
"address_2": "SUITE 200",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502652505",
"telephone_number": "515-288-5570",
"fax_number": "515-440-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 OFFICE PARK RD",
"address_2": "SUITE 200",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502652505",
"telephone_number": "515-288-5570",
"fax_number": "515-440-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "RONALD",
"middle_name": "DEVERE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "82",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.