Ryan L Clements Psy.D. LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

016820 Issued in NY

Legal business name

RYAN L CLEMENTS PSY.D. LLC

Practice address

1099 N Country Rd
Unit L
Stony Brook, NY 11790-1924

Phone

(631) 941-2210

NPI assigned

Aug 27, 2008

Last updated

Aug 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Clements, PSY.D.

Title

Psychologist / Owner

Phone

(631) 626-4459

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1386891786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 N COUNTRY RD",
            "address_2": "UNIT L",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901924",
            "telephone_number": "631-941-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 N COUNTRY RD",
            "address_2": "UNIT L",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901924",
            "telephone_number": "631-941-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN L CLEMENTS PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "631-626-4459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "016820",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "016820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Russo, MSN, RN, CCRN, CPNP
• Alexandra Rusz, MD
• Daniel N Rutigliano, D.O.
• Samantha Rutkowsky
• Robert Ruzic, MS
• Adam T Ryan, MD
• Julia Ryan, MD
• Maria Emanuel Ryan, DDS, PHD
• Patrick Ryan, MD
• Samuel Ryu, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.