Ryan Gavin Dunnigan

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PSY27458 Issued in CA

Practice address

3270 Kerner Blvd Ste a
San Rafael, CA 94901-4840

Phone

(415) 473-2681

Fax

(415) 473-5850

NPI assigned

Sep 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Ryan G Dunnigan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1285941898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 KNOLLWOOD DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011518",
            "telephone_number": "415-720-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 KERNER BLVD STE A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014840",
            "telephone_number": "415-473-2681",
            "fax_number": "415-473-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNIGAN",
        "first_name": "RYAN",
        "middle_name": "GAVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY27458",
            "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": [
        {
            "first_name": "RYAN",
            "last_name": "DUNNIGAN",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "PSYD, MA, MBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Dukes
• Patricia Duncan, L.P.C.C.
• Jennifer Dunn, LMFT#156965
• Kellen Grace Dunn
• Wendy Labov Dunne, LMFT
• Jill K. Dunton, MD
• Andrew Tien Duong, MD
• Amelia Duplantier, RD
• Durango Investments Inc.
• Torsten Hall Durkan

• Forensic Psychologist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.