Ross Ginkel PSYD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 203014 Issued in ID

Legal business name

ROSS GINKEL PSYD PLLC

Practice address

750 W Ustick Rd
Suite 120
Meridian, ID 83646-6133

Phone

(208) 366-1601

Fax

(208) 366-1602

NPI assigned

Feb 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ross Ginkel, PSY.D.NPI 1568806016

Title

Owner

Phone

(503) 939-2484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ross Ginkel, PSY.D.

  • Clinical Psychologist
  • Meridian, ID
  • NPI 1568806016
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1982142071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W USTICK RD",
            "address_2": "SUITE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466133",
            "telephone_number": "208-366-1601",
            "fax_number": "208-366-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W USTICK RD",
            "address_2": "SUITE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466133",
            "telephone_number": "208-366-1601",
            "fax_number": "208-366-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS GINKEL PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "GINKEL",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-939-2484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY 203014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roots Dental PLLC
• Lisa Marie Roper, B.S, ATC, LAT
• Alicia Rosales, LCSW
• Rosauers Supermarkets Inc
• Sara Rose
• Elisha Ann Ross, PA-C
• Stuart Edward Ross, MD
• Randall Scott Rostock, PHARM.D.
• Meghan Michelle Rostratter, CCC-SLP
• Justin Stephan Roth, D.O.

• Clinical Psychologist in Meridian, ID
• Providers in Meridian, 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 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.