| Ryan D Jaarsma, PSYD | |
|
902 Lakeview Ave, Pueblo, CO 81004-3597 | |
| (719) 557-5855 | |
| (719) 557-5097 |
| Full Name | Ryan D Jaarsma |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 902 Lakeview Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679509392 | NPI | - | NPPES |
| 680C946390 | Other | MI | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301010784 (Michigan) | Secondary |
| 103T00000X | Psychologist | PSY.0005215 (Colorado) | Primary |
| Entity Name | Pine Rest Christian Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan D Jaarsma, PSYD Po Box 800022, Kansas City, MO 64180-0022 Ph: (800) 953-0104 | Ryan D Jaarsma, PSYD 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5855 |
Dr. Salvador Cruz, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 128 S-union, Suite C, Pueblo, CO 81003 Phone: 719-543-6988 Fax: 719-542-1290 | |
Dr. Douglas Jones, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 N Main St Ste 240, Pueblo, CO 81003 Phone: 719-994-7643 Fax: 719-960-2989 | |
Raymond M. Quinones, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4910 | |
Charles R. Bennett, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4838 | |
Dr. Richard Blair Madsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 417 W 13th St, Pueblo, CO 81003 Phone: 719-544-0877 Fax: 719-544-2033 | |
Peggy A. Hicks, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4552 | |
Tess Scogan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4805 |