Active NPI
Joan M Ryan, PSYCHOLOGIST- SCHOOL
- School Psychologist
- Strafford, NH
National Provider Identifier
1104438175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 49857
- Practice address
- 22 Roller Coaster Rd
Strafford, NH 03884-6648 - Phone
- (603) 664-2842
- NPI assigned
- Aug 20, 2020
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 49857 | NH | Primary |
Addresses
Primary practice location
22 Roller Coaster Rd
Strafford, NH 03884-6648
Mailing address
PO Box 1274
Berwick, ME 03901-1274
Phone (207) 698-7102
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 |
|---|---|---|---|
| 49857 | NH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1104438175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1274",
"city": "BERWICK",
"state": "ME",
"postal_code": "039011274",
"telephone_number": "207-698-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ROLLER COASTER RD",
"city": "STRAFFORD",
"state": "NH",
"postal_code": "038846648",
"telephone_number": "603-664-2842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "JOAN",
"middle_name": "M",
"credential": "PSYCHOLOGIST- SCHOOL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NH",
"license": "49857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Strafford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.