Individual provider Active NPI

Risa Amy Byars, PSY.D.

  • Clinical Psychologist
  • Bluffton, SC
National Provider Identifier
1184783169
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
972 Issued in SC
Practice address
21 Daffodil Farm Rd
Bluffton, SC 29910-5352
Phone
(843) 345-7294
NPI assigned
Dec 6, 2006
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 972 SC Primary

Addresses

Primary practice location

21 Daffodil Farm Rd
Bluffton, SC 29910-5352

Mailing address

21 Daffodil Farm Rd
Bluffton, SC 29910-5352
Phone (843) 345-7294

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.risabyars.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20191119001373 SC Practitioner - Clinical Psychologist 3870925589 Practice locations: Bluffton, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

65 Victory Point Dr
Bluffton, SC 29910-6127
Phone (843) 345-7294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Risa Byars, LLC CurrentSince Jun 12, 2019 Accepting new patients

Locations

25 Thurmond Way
Unit 3004
Bluffton, SC 29910

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1184783169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DAFFODIL FARM RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105352",
            "telephone_number": "843-345-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DAFFODIL FARM RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105352",
            "telephone_number": "843-345-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYARS",
        "first_name": "RISA",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.risabyars.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21 Daffodil Farm Rd",
            "city": "Bluffton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299105352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.