Active NPI
Linda Christine Ryan, MS
- Cognitive & Behavioral Psychologist
- Grandview, MO
National Provider Identifier
1114108263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- R0429
- Practice address
- 13601 S US Highway 71
Grandview, MO 64030-3659 - Phone
- (816) 966-0338
- Fax
- (816) 966-1023
- NPI assigned
- Nov 16, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | R0429 | MO | Primary |
| Counseling Psychologist | 103TC1900X | R0429 | MO | |
| Family Psychologist | 103TF0000X | R0429 | MO |
Addresses
Primary practice location
13601 S US Highway 71
Grandview, MO 64030-3659
Mailing address
13601 S US Highway 71
Grandview, MO 64030-3659
Phone (816) 966-0338
Other names 1
- Mrs. Christine Ryan
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0429 | MO | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1114108263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13601 S US HIGHWAY 71",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640303659",
"telephone_number": "816-966-0338",
"fax_number": "816-966-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 S US HIGHWAY 71",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640303659",
"telephone_number": "816-966-0338",
"fax_number": "816-966-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "LINDA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MO",
"license": "R0429",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MO",
"license": "R0429",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MO",
"license": "R0429",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "RYAN",
"prefix": "MRS.",
"credential": "MS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grandview, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.