Patricia McDonough Ryan, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

003067 Issued in CT

Practice address

85 Old Kings Hwy N
Concussion Center of Fairfield County
Darien, CT 06820-4732

Phone

(513) 608-0135

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Patricia McDonough Ryan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1396959656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JUNIPER RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205707",
            "telephone_number": "513-608-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD KINGS HWY N",
            "address_2": "CONCUSSION CENTER OF FAIRFIELD COUNTY",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204732",
            "telephone_number": "513-608-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PATRICIA",
        "middle_name": "MCDONOUGH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "003067",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "6069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "RYAN",
            "middle_name": "MCDONOUGH",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Loren Hession Rubino, LPCA, ATRP
• Madeline Elizabeth Ruffinott, OT
• James Austin Rumsey, M.S., P.T.
• Lauren Russell
• Jason Rutherford, O.D.
• Nura Salameh
• Teresa Salzillo, MS, OTR/L
• Sasco River Center
• David Satterwhite
• Saul Asken M.D. L.L.C.

• Clinical Neuropsychologist in Darien, CT
• Providers in Darien, CT by specialty
• Clinical Neuropsychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.