Individual provider Active NPI

Ryan M Kull, PHD, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1346447844
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R061627-1 Issued in NY
Practice address
330 W 58TH St Ste 401
New York, NY 10019-1821
Phone
(914) 200-4675
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R061627-1 NY Primary

Addresses

Primary practice location

330 W 58TH St Ste 401
New York, NY 10019-1821

Mailing address

83 S Ocean Ave Unit 500
Patchogue, NY 11772-3702
Phone (914) 200-4675

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R061627-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New York Speech & Voice Lab PLLC CurrentSince Feb 20, 2018 Accepting new patients
Kull Individualized Psychotherapy Practice Counseling LCSW PC Current Accepting new patients

Locations

330 W 58th St
Ste 401
New York, NY 10019
Phone (212) 575-4769

150 Broadway
Rm 1708
New York, NY 10038
Phone (347) 677-3619

83 S Ocean Ave
Patchogue, NY 11772
Phone (516) 263-1432

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1346447844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S OCEAN AVE UNIT 500",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723702",
            "telephone_number": "914-200-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191821",
            "telephone_number": "914-200-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULL",
        "first_name": "RYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R061627-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.