Keri Ryan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017544 Issued in NY

Practice address

151 Knollcroft Rd
Building 57
Lyons, NJ 07939-5001

Phone

(908) 647-0180

NPI assigned

Dec 20, 2009

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Dept. Veterans Affairs

  • Substance Abuse Rehabilitation Facility
  • Lyons, NJ
  • NPI 1265532436
  NPD (past)
• V.a.N.J.Healthcare System

  • Psychiatric Hospital
  • Lyons, NJ
  • NPI 1043226806
  NPD (past)

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

{
    "created_epoch": "1261267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1275862302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KNOLLCROFT RD",
            "address_2": "BUILDING 57",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "079395001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KNOLLCROFT RD",
            "address_2": "BUILDING 57",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "079395001",
            "telephone_number": "908-647-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KERI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-20",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakima A Rago, PMHNP
• Russell Ramlal
• Kimberly P Rampaul-Pino, AUD, CCC-A
• Ji Jin Rhew, M.D.
• Karla Rizzi, LCSW
• Elvira J Salas, RPH
• Christina Sartain, MSW, LCSW
• Anne C Scarcella
• Josephina F Schipper, RN
• Cheryl Ann Schoch, R.N.C. ANP MSN

• Clinical Psychologist in Lyons, NJ
• Providers in Lyons, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.