Susan Ryan, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34476 Issued in CA

Practice address

1918 University Ave Ste 2B
Berkeley, CA 94704-3264

Phone

(510) 548-9716

NPI assigned

Sep 27, 2018

Last updated

May 26, 2026By the provider in NPPES

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

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Live Oak Psychological Services, PC

  • Clinical Psychologist
  • Berkeley, CA
  • NPI 1891558433
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1326523044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 MILVIA ST STE 450",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041297",
            "telephone_number": "510-214-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 UNIVERSITY AVE STE 2B",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043264",
            "telephone_number": "510-548-9716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Milvia St Ste 450",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041297",
            "country_code": "US",
            "telephone_number": "510-214-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SUSAN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan L. Horn, D.D.S. and Barron K. Hong, D.M.D., M.S., a Partnership
• Ryan Lawrence Horn, D.D.S. (Berkeley Periodontics and Dental Implants)
• Kristina Ryan
• Maria Ryan
• Sheila Moriah Ryan, MFT
• S H Hokmabadi Inc
• S Hokmabadi DDS Inc (total health dental care)
• S Hokmabadi Dental Office a Professional Corp (Total Health Dental Care Dana St)
• Joseph Hanna Saah, MFCC
• Lara Elaine Avengoza Saberon, MSN, FNP-C

• Clinical Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.