Individual provider Active NPI

Ryan John Wakim, M.D.

  • Psychiatry Physician
  • Wheeling, WV
National Provider Identifier
1093033789
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0064121 Issued in CO
Practice address
1100 Main St Ste 104
Wheeling, WV 26003-2737
Phone
(304) 460-5123
Fax
(888) 276-3121
NPI assigned
May 5, 2010
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X D0090198 MD
Psychiatry Physician 2084P0800X 52407 SC
Psychiatry Physician 2084P0800X DR.0064121 CO Primary
Psychiatry Physician 2084P0800X 69641 CT
Psychiatry Physician 2084P0800X ME143130 FL
Psychiatry Physician 2084P0800X MD458987 PA
Psychiatry Physician 2084P0800X 21739 NH
Psychiatry Physician 2084P0800X 41470 AL
Psychiatry Physician 2084P0800X 036156879 IL
Psychiatry Physician 2084P0800X 84710 GA
Psychiatry Physician 2084P0800X 35.136307 OH
Psychiatry Physician 2084P0800X 24727 WV
Psychiatry Physician 2084P0800X 303652 NY
Psychiatry Physician 2084P0800X 53466 KY

Addresses

Primary practice location

1100 Main St Ste 104
Wheeling, WV 26003-2737

Mailing address

1005 White Willow Way
Attn: Rachel Detec
Morgantown, WV 26505-6119
Phone (304) 280-7337

Other identifiers 24

IdentifierTypeStateIssuer
0064121OtherCOMEDICAL LICENSE
0101276200OtherVAMEDICAL LICENSE
MD.61293790OtherWAMEDICAL LICENSE
MD210001486OtherDCMEDICAL LICENSE
036156879OtherILMEDICAL LICENSE
66653OtherAZMEDICAL LICENSE
69641OtherCTMEDICAL LICENSE
84710OtherGAMEDICAL LICENSE
24727OtherWVMEDICAL LICENSE
290330OtherMAMEDICAL LICENSE
41470OtherALMEDICAL LICENSE
53466OtherKYMEDICAL LICENSE
ME143130OtherFLMEDICAL LICENSE
21739OtherNHMEDICAL LICENSE
MD458987OtherPAMEDICAL LICENSE
25MA11289500OtherNJMEDICAL LICENSE
C1-0024502OtherDEMEDICAL LICENSE
MD17998OtherRIMEDICAL LICENSE
35.136307OtherOHMEDICAL LICENSE
71258OtherMNMEDICAL LICENSE
T1594OtherTXMEDICAL LICENSE
52407OtherSCMEDICAL LICENSE
303652OtherNYMEDICAL LICENSE
338366OtherLAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, AZ, MA, WA, VA, DC, MD, IN9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20120306000019 WV Practitioner - Psychiatry 3375702731 Reassigns benefits to 5 organizations
I20180705001915 PA Practitioner - PsychiatryPractitioner - Neuropsychiatry 3375702731 Reassigns benefits to 1 organization
I20220421002443 AZ Practitioner - Psychiatry 3375702731 Reassigns benefits to 1 organization
I20230222002150 MA Practitioner - Psychiatry 3375702731 Reassigns benefits to 1 organization
I20241017001709 WA Practitioner - Psychiatry 3375702731 Reassigns benefits to 1 organization
I20241206002150 VA Practitioner - Psychiatry 3375702731 Reassigns benefits to 1 organization
I20241212003702 DC Practitioner - Psychiatry 3375702731 Reassigns benefits to 1 organization
I20250121000345 MD Practitioner - Psychiatry 3375702731 Reassigns benefits to 1 organization
I20260618004347 IN Practitioner - Psychiatry 3375702731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

10400 Little Patuxent Pkwy
Columbia, MD 21044-3518
Phone (571) 977-6870

24560 Southpoint Dr
Suite 260
Aldie, VA 20105-3505
Phone (571) 248-7493

2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558
Phone (703) 841-1290

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41470ALMDPsychiatry Physician
DR.0064121COMDPsychiatry Physician
69641CTMDPsychiatry Physician
ME143130FLMDPsychiatry Physician
84710GAMDPsychiatry Physician
036156879ILMDPsychiatry Physician
53466KYMDPsychiatry Physician
D0090198MDMDPsychiatry Physician
21739NHMDPsychiatry Physician
303652NYMDPsychiatry Physician
35.136307OHMDPsychiatry Physician
52407SCMDPsychiatry Physician
24727WVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grafton City Hospital Inc Multi-Specialty CurrentSince Aug 4, 2020 Accepting new patients
New Directions Mental Health, PC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Northeast Health Services, LLC Multi-Specialty CurrentSince Dec 1, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Multi-Specialty Current Accepting new patients
Grafton City Hospital Inc CurrentSince Aug 4, 2020 Accepting new patients
Mountain View Headache and Spine Institute PLLC Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients
Mountain View Headache and Spine Institute PLLC Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients
University Healthcare Physicians Inc Multi-Specialty CurrentSince Oct 1, 2014 Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. Multi-Specialty CurrentSince Dec 14, 2021 Accepting new patients
Monongalia County General Hospital Company Multi-Specialty CurrentSince Sep 8, 2015 Accepting new patients
Lightheart Associates PS Multi-Specialty CurrentSince Aug 12, 2024 Accepting new patients
University Healthcare Physicians, Inc. Multi-Specialty CurrentSince Oct 1, 2014 Accepting new patients
Columbia Associates in Psychiatry PC Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
GR&W, Inc Psychiatry CurrentSince Jul 22, 2025 Accepting new patients
Areba Casriel Inc. Past Accepting new patients
Valley Comprehensive Community Mental Health Center Past Accepting new patients
Cheat Road Project Associates LLC Past Accepting new patients
White Light Behavioral Heath Columbus, LLC Past Accepting new patients
Aurora Project Associates LLC Past Accepting new patients
Areba Casriel, Inc. Past Accepting new patients
Westover Project Associates LLC Past Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. PastSince Apr 25, 2021 Accepting new patients
Morgantown Pastoral Counseling Center Inc Multi-Specialty PastSince Sep 1, 2012 Accepting new patients
Dr. Kathleen Worsley PastSince Aug 12, 2024 Accepting new patients

Locations (25 of 26)

2222 E Highland Ave
Ste 110
Phoenix, AZ 85016
Phone (602) 767-0007

4729 E Union Hills Dr
Ste 111
Phoenix, AZ 85050
Phone (602) 482-5444

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

10400 Little Patuxent Pkwy
Columbia, MD 21044
Phone (410) 210-4098

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

7000 Stonewood Dr
Ste 300
Wexford, PA 15090
Phone (724) 724-0992

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

33455 6th Ave S
Ste 2C
Federal Way, WA 98003
Phone (253) 210-4230

7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681

8301 161st Ave NE
Ste 202
Redmond, WA 98052
Phone (425) 658-2253

2111 N Northgate Way
Ste 216
Seattle, WA 98133
Phone (206) 385-9636

3315 S 23rd St
Ste 100
Tacoma, WA 98405
Phone (253) 361-4032

120 Professional Pl
Ste 101
Bridgeport, WV 26330
Phone (304) 369-8878

1 Hospital Plz
Grafton, WV 26354
Phone (304) 265-0400

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

400 Foxcroft Ave
Ste 104
Martinsburg, WV 25401
Phone (304) 513-3495

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

900 Fairmont Rd
Westover, WV 26501
Phone (304) 292-7316

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/grafton-33215f04
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ryan.wakim.1@14821.direct.athenahealth.com
  • Direct secure messaging: ryanwakim@sgmci.allscriptsdirect.net
  • Direct secure messaging: ryanwakim@tdh.allscriptsdirect.net

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1093033789",
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        {
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            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 WHITE WILLOW WAY",
            "address_2": "ATTN: RACHEL DETEC",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056119",
            "telephone_number": "304-280-7337"
        },
        {
            "country_code": "US",
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            "fax_number": "888-276-3121"
        }
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    "practiceLocations": [],
    "basic": {
        "last_name": "WAKIM",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-05",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
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        },
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    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.