Individual provider Active NPI

Ryan Richard Dump, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1164779476
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-009160 Issued in IL
Practice address
303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227
Phone
(312) 934-7701
NPI assigned
Aug 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071.009160
Clinical Psychologist 103TC0700X 071-009160 IL Primary

Addresses

Primary practice location

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227

Mailing address

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227
Phone (312) 600-3935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000005 IL Practitioner - Clinical Psychologist 1456659705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resilience Psychological Services PCGroup PAC ID 0547568891, 7 clinicians

Practice addresses (Care Compare)

303 E Wacker Dr
Suite 1130
Chicago, IL 60601-5227
Phone (312) 600-3935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-009160ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Psychological Services, PC Clinical CurrentSince Mar 2, 2016 Accepting new patients

Locations

303 E Wacker Dr
Ste 1130
Chicago, IL 60601
Phone (312) 600-3935

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1164779476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "312-600-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "312-934-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMP",
        "first_name": "RYAN",
        "middle_name": "RICHARD",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-06-24",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "071.009160",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-009160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.