Cody Ryder

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2400 S 48TH St
Springdale, AR 72762-6683

Phone

(479) 750-2020

Fax

(479) 750-4843

NPI assigned

Jun 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124477732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Fort St Ste B",
            "address_purpose": "LOCATION",
            "city": "Barling",
            "state": "AR",
            "postal_code": "729232180",
            "country_code": "US",
            "telephone_number": "479-494-5700",
            "fax_number": "479-478-6213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Fort St Ste B",
            "address_purpose": "LOCATION",
            "city": "Barling",
            "state": "AR",
            "postal_code": "729232180",
            "country_code": "US",
            "telephone_number": "479-494-5700",
            "fax_number": "479-478-6213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYDER",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn N Russell, MSW
• Heather Brianne Russell
• Karen Kay Russell, MHPP
• Ronald J Russell Jr., D.C.
• John Christopher Ryan
• Jennifer Christin Ryion
• Jerry Don Sadler, M.D.
• Xitlally Salas
• Ana Cecilia Salazar
• Jezabel Salvador Campos, LPN

• Mental Health Counselor in Springdale, AR
• Providers in Springdale, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.