Ryan P Faulkner, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1397 Issued in KY

Practice address

1000 S Fort Thomas Ave
RM 225
Fort Thomas, KY 41075-2305

Phone

(513) 861-3100

Fax

(859) 572-6748

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bliss Psychological Services, Inc.

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1477508745
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1174588560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FORT THOMAS AVE",
            "address_2": "RM 225",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752305",
            "telephone_number": "513-861-3100",
            "fax_number": "859-572-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FORT THOMAS AVE",
            "address_2": "RM 225",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752305",
            "telephone_number": "513-861-3100",
            "fax_number": "859-572-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "RYAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Elliott, M.D.
• Daryl Leon Emery, MD
• Amy Fahey, PH.D.
• Kelsey Faller, PTA, ATC, LAT
• Mackenzie Farmer, OTR/L
• Benjamin James Favier, M.D.
• Teri Fetters, MSN, RN
• Julie Finn, SOLE PROPRIETOR
• First Steps Program of Ketucky
• Lindsay Flaherty, AU.D

• Clinical Psychologist in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.