Active NPI
Ryan D Graham, PH.D.
- Clinical Psychologist
- Fort Carson, CO
National Provider Identifier
1346635141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.006454
- Practice address
- 1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604 - Phone
- (806) 778-3897
- NPI assigned
- Mar 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10783609-2501 | UT | |
| Clinical Psychologist | 103TC0700X | PSY.006454 | CO | Primary |
Addresses
Primary practice location
1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Mailing address
1657 Barkeley Avenue
BLDG 1657
Fort Carson, CO 80913
Phone (806) 778-3897
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 |
|---|---|---|---|
| PSY.006454 | CO | MD | Clinical Psychologist |
| 10783609-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1346635141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 BARKELEY AVENUE",
"address_2": "BLDG 1657",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "806-778-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR UNIT MEDDAC",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134604",
"telephone_number": "806-778-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "RYAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2025-08-07",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "10783609-2501",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.006454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.