Active NPI
Andreas Rydland, PH.D
- Psychologist
- Franklin, WI
National Provider Identifier
1336842269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4012-57
- Practice address
- 9809 S Franklin Dr Ste 302
Franklin, WI 53132-8885 - Phone
- (262) 789-1191
- NPI assigned
- Mar 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4012-57 | WI | Primary |
Addresses
Primary practice location
9809 S Franklin Dr Ste 302
Franklin, WI 53132-8885
Mailing address
9809 S Franklin Dr Ste 302
Franklin, WI 53132-8885
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4012-57 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1336842269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9809 S FRANKLIN DR STE 302",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9809 S FRANKLIN DR STE 302",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328885",
"telephone_number": "262-789-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDLAND",
"first_name": "ANDREAS",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-22",
"last_updated": "2023-04-19",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "WI",
"license": "4012-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.