Active NPI
Ryan M Kull, PHD, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1346447844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R061627-1
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R061627-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Speech & Voice Lab PLLC | Current | 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.
-
- Social Worker
- New York, NY
- NPI 1114605169
-
- Speech-Language Pathologist
- New York, NY
- NPI 1588053557
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.