Ryan Mather, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010711 Issued in IL

Practice address

30 N Michigan Ave Ste 1610
Chicago, IL 60602-3653

Phone

(773) 234-7509

NPI assigned

Aug 26, 2020

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Practice roles

Locations

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.

• Ryan Mather PSYD PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1376352336
  NPD Authorized official
• Ryan Mather PSYD PLLC

  dba Summit Psychotherapy & Consultation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1689322414
  Authorized official Same address or phone
• Dr. Elom Amuzu LLC

  • Clinical Psychologist
  • Homewood, IL
  • NPI 1508470774
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1275146599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6177 N LINCOLN AVE # 197",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592313",
            "telephone_number": "773-234-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023653",
            "telephone_number": "773-234-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHER",
        "first_name": "RYAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010711",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maternal Fetal Medicine Consultants (Midwest Perinatology Associates)
• Samuel Mathai
• Teena George Mathai, CCC-SLP
• Vanessa Mathai, COTA
• Molly Ann Mather, PHD
• Emma Juliet Mathers, MD
• Cynthia Mathes, LSW
• Kimberly Mathes
• Marly Mathes, LCSW
• Matheson Counseling PLLC

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.