Active NPI
Kristin Lee Ryder, MS
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1295915635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3933541
- Practice address
- 3401 N 67TH Ave
Phoenix, AZ 85033-4517 - Phone
- (623) 691-4085
- NPI assigned
- Nov 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3933541 | AZ | Primary |
Addresses
Primary practice location
3401 N 67TH Ave
Phoenix, AZ 85033-4517
Mailing address
17736 N 90TH Ave
Peoria, AZ 85382-4004
Phone (623) 691-5018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3933541 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1295915635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17736 N 90TH AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853824004",
"telephone_number": "623-691-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N 67TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850334517",
"telephone_number": "623-691-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDER",
"first_name": "KRISTIN",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3933541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.