Brendan Ryan, MS, LPP, BCBA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0099 Issued in KY

Practice address

8901 Provincetown PL
Louisville, KY 40242-6907

Phone

(815) 325-4648

Fax

(866) 373-0972

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1063542173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY",
            "address_2": "SUITE 2360",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "815-325-4648",
            "fax_number": "866-373-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 PROVINCETOWN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402426907",
            "telephone_number": "815-325-4648",
            "fax_number": "866-373-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BRENDAN",
        "credential": "MS, LPP, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "0099",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "KY-0035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ryals
• Ryan M Alpino PLLC
• Aimee Michelle Ryan, PT
• Alan Cody Ryan, DNP, MA, APRN, FNP
• Andrea Elise Ryan, PA-C
• Hannah Ryan, PT, DPT
• Maureen A Ryan, MD
• Nicholas Aaron Ryan, MD
• Nicole Ruth Ryan, RN, DNP, PMHNP-BC
• Stuart Ryan, PT, DPT

• Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.