Individual provider Active NPI

Ryan Perry, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Dartmouth, MA
National Provider Identifier
1083285712
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
252358 Issued in MA
Practice address
581 Faunce Corner Rd
North Dartmouth, MA 02747-1242
Phone
(877) 215-0614
NPI assigned
Jul 4, 2021
Last updated
Jul 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 252358 MA Primary

Addresses

Primary practice location

581 Faunce Corner Rd
North Dartmouth, MA 02747-1242

Mailing address

581 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (888) 970-8918

Other practice location 1

65 Camp St
Hyannis, MA 02601-3006
Phone (877) 557-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805002370 MA Practitioner - Nurse Practitioner 4587046677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huffman Enterprises IncGroup PAC ID 1153564331, 15 clinicians

Practice addresses (Care Compare)

516 Hawthorn St
Suite 4
Dartmouth, MA 02747-3733
Phone (774) 929-7420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
252358MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health, LLC CurrentSince Aug 1, 2022 Accepting new patients
Huffman Enterprises, Inc CurrentSince Aug 2, 2022 Accepting new patients
Rperry Enterprises Inc Psychiatric/Mental Health PastSince Jul 1, 2021 Accepting new patients

Locations

516 Hawthorn St
Ste 4
North Dartmouth, MA 02747
Phone (774) 919-7420

581 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 207-9800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1083285712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "888-970-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 FAUNCE CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "877-215-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Camp St",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026013006",
            "country_code": "US",
            "telephone_number": "877-557-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RYAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-04",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "252358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.