Individual provider Active NPI

Sylvia D Ramirez, PSY.D.

  • Psychologist
  • Portland, OR
National Provider Identifier
1992417463
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3639 Issued in OR
Practice address
205 SE Spokane St
Portland, OR 97202-6487
Phone
(503) 446-4410
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY61066874 WA
Psychologist 103T00000X 3639 OR Primary

Addresses

Primary practice location

205 SE Spokane St
Portland, OR 97202-6487

Mailing address

205 SE Spokane St Ste 300
Portland, OR 97202-6487

Other practice location 1

388 State St Ste 704
Salem, OR 97301-4023
Phone (503) 917-9623

Other practice location 2

25195 SW Parkway Ave Ste 112
Wilsonville, OR 97070-9651
Phone (503) 908-6050

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY61066874WAMDPsychologist
3639ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ramirez Psychological Services, LLC Current Accepting new patients
Mangata Wellness, Inc Past Accepting new patients

Locations

205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255

205 SE Spokane St
Portland, OR 97202
Phone (818) 576-0664

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1992417463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "503-446-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 State St Ste 704",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014023",
            "country_code": "US",
            "telephone_number": "503-917-9623",
            "fax_number": "503-919-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25195 SW Parkway Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970709651",
            "country_code": "US",
            "telephone_number": "503-908-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "SYLVIA",
        "middle_name": "D",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2024-04-09",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61066874",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.