RYAN D JAARSMA PSY.D.
NPI 1679509392
Psychologist in Pueblo, CO

Active since June 24, 2006PECOS Enrolled
88.22/100
CMS Quality Rating
902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5855(719) 557-5097 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2021, Jul 7, 2020 (2 updates tracked since 2020).

About Ryan D Jaarsma Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN D JAARSMA PSY.D. (NPI 1679509392) is an individual psychologist in Pueblo, Colorado, licensed in Colorado (PSY.0005215) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grandville.

NPPES Registry Identity

NPI1679509392
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRYAN D JAARSMACredential: PSY.D.
Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597
Mailing AddressPo Box 800022Kansas City, MO 64180-0022 · (800) 953-0104 · Fax (303) 765-6670
Fax(719) 557-5097
Sole ProprietorYes
Enumeration DateJune 24, 2006
Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
NPI 1679509392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CO · PSY.0005215 Licensed in MI · 6301010784
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

902 LAKEVIEW AVE, Pueblo, CO 81004

Secondary Practice Location 1

Location 14211 Parkway Pl SWGrandville, MI 49418-2385 · Phone (616) 222-3700

Other Identifiers 1

Other680C946390MI · Bc/bs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan D Jaarsma Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
902 LAKEVIEW AVE
PUEBLO, CO 81004
General Practice
902 LAKEVIEW AVE
PUEBLO, CO 81004
Clinic/Center (Primary Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE, SOUTHERN COLORADO FAMILY MEDICINE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Jaarsma's NPI number?

The NPI number for Ryan Jaarsma is 1679509392. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Ryan Jaarsma located?

Ryan Jaarsma practices at 902 Lakeview Ave, Pueblo, CO 81004. The listed phone number is (719) 557-5855.

What is Ryan Jaarsma's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ryan Jaarsma enrolled in Medicare?

Yes. Ryan Jaarsma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Jaarsma was last updated on February 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.