Active NPI
Mary Kay Aebly-Ryan, PSY.D.
- Psychologist
- Sleepy Hollow, NY
National Provider Identifier
1023167483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 012266-1
- Practice address
- 239 N Broadway
Suite 6
Sleepy Hollow, NY 10591-2674 - Phone
- (914) 432-7752
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 012266-1 | NY | Primary |
Addresses
Primary practice location
239 N Broadway
Suite 6
Sleepy Hollow, NY 10591-2674
Mailing address
239 N Broadway
Suite 6
Sleepy Hollow, NY 10591-2674
Phone (914) 432-7752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2045984 | Other | NY | OXFORD PROVIDER ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012266-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1023167483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 N BROADWAY",
"address_2": "SUITE 6",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105912674",
"telephone_number": "914-432-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 N BROADWAY",
"address_2": "SUITE 6",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105912674",
"telephone_number": "914-432-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AEBLY-RYAN",
"first_name": "MARY",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "012266-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER ID",
"identifier": "P2045984",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.