Active NPI
Ryan John Wakim, M.D.
- Psychiatry Physician
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0064121
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064121 | Other | CO | MEDICAL LICENSE |
| 0101276200 | Other | VA | MEDICAL LICENSE |
| MD.61293790 | Other | WA | MEDICAL LICENSE |
| MD210001486 | Other | DC | MEDICAL LICENSE |
| 036156879 | Other | IL | MEDICAL LICENSE |
| 66653 | Other | AZ | MEDICAL LICENSE |
| 69641 | Other | CT | MEDICAL LICENSE |
| 84710 | Other | GA | MEDICAL LICENSE |
| 24727 | Other | WV | MEDICAL LICENSE |
| 290330 | Other | MA | MEDICAL LICENSE |
| 41470 | Other | AL | MEDICAL LICENSE |
| 53466 | Other | KY | MEDICAL LICENSE |
| ME143130 | Other | FL | MEDICAL LICENSE |
| 21739 | Other | NH | MEDICAL LICENSE |
| MD458987 | Other | PA | MEDICAL LICENSE |
| 25MA11289500 | Other | NJ | MEDICAL LICENSE |
| C1-0024502 | Other | DE | MEDICAL LICENSE |
| MD17998 | Other | RI | MEDICAL LICENSE |
| 35.136307 | Other | OH | MEDICAL LICENSE |
| 71258 | Other | MN | MEDICAL LICENSE |
| T1594 | Other | TX | MEDICAL LICENSE |
| 52407 | Other | SC | MEDICAL LICENSE |
| 303652 | Other | NY | MEDICAL LICENSE |
| 338366 | Other | LA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, PA, AZ, MA, WA, VA, DC, MD, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 41470 | AL | MD | Psychiatry Physician |
| DR.0064121 | CO | MD | Psychiatry Physician |
| 69641 | CT | MD | Psychiatry Physician |
| ME143130 | FL | MD | Psychiatry Physician |
| 84710 | GA | MD | Psychiatry Physician |
| 036156879 | IL | MD | Psychiatry Physician |
| 53466 | KY | MD | Psychiatry Physician |
| D0090198 | MD | MD | Psychiatry Physician |
| 21739 | NH | MD | Psychiatry Physician |
| 303652 | NY | MD | Psychiatry Physician |
| 35.136307 | OH | MD | Psychiatry Physician |
| 52407 | SC | MD | Psychiatry Physician |
| 24727 | WV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grafton City Hospital Inc | Multi-Specialty | Current | Accepting new patients |
| New Directions Mental Health, PC | Multi-Specialty | Current | Accepting new patients |
| Northeast Health Services, LLC | Multi-Specialty | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Multi-Specialty | Current | Accepting new patients |
| Grafton City Hospital Inc | Current | Accepting new patients | |
| Mountain View Headache and Spine Institute PLLC | Multi-Specialty | Current | Accepting new patients |
| Mountain View Headache and Spine Institute PLLC | Multi-Specialty | Current | Accepting new patients |
| University Healthcare Physicians Inc | Multi-Specialty | Current | Accepting new patients |
| Mon Health Marion Neighborhood Hospital, Inc. | Multi-Specialty | Current | Accepting new patients |
| Monongalia County General Hospital Company | Multi-Specialty | Current | Accepting new patients |
| Lightheart Associates PS | Multi-Specialty | Current | Accepting new patients |
| University Healthcare Physicians, Inc. | Multi-Specialty | Current | Accepting new patients |
| Columbia Associates in Psychiatry PC | Multi-Specialty | Current | Accepting new patients |
| GR&W, Inc | Psychiatry | Current | 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. | Past | Accepting new patients | |
| Morgantown Pastoral Counseling Center Inc | Multi-Specialty | Past | Accepting new patients |
| Dr. Kathleen Worsley | Past | 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
- https://fhir-usa.unify.chbase.com/org/grafton-33215f04
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ryan.wakim.1@14821.direct.athenahealth.com
- ryanwakim@sgmci.allscriptsdirect.net
- 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.
-
- Psychiatry Physician
- Arlington, VA
- NPI 1699012930
DC, MD, Multi-Specialty
-
dba Mon Health Marion
- Hospitalist Physician
- White Hall, WV
- NPI 1417521337
Multi-Specialty
-
dba Mon Health Medical Center
- Specialist
- Morgantown, WV
- NPI 1447673223
Multi-Specialty
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
Multi-Specialty
-
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
- NPI 1356925960
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McMurray, PA
- NPI 1215904800
Multi-Specialty
-
dba Hyland Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
Multi-Specialty
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Marion, IN
- NPI 1902773005
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgantown, WV
- NPI 1992665723
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1093033789",
"addresses": [
{
"country_code": "US",
"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",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MAIN ST STE 104",
"city": "WHEELING",
"state": "WV",
"postal_code": "260032737",
"telephone_number": "304-460-5123",
"fax_number": "888-276-3121"
}
],
"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"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0090198",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "52407",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0064121",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "69641",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME143130",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD458987",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "21739",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "41470",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036156879",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "84710",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.136307",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "24727",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "303652",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "53466",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "0064121",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "0101276200",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD.61293790",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD210001486",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "036156879",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "66653",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "69641",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "84710",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "24727",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "290330",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "41470",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "53466",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME143130",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "21739",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD458987",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "25MA11289500",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C1-0024502",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD17998",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "35.136307",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "71258",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "T1594",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "52407",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "303652",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "338366",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.