Active NPI
Parnell E. Ryan, PH.D.
- Psychologist
- Pantego, TX
National Provider Identifier
1407878671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 32424
- Practice address
- 3609 Smith Barry Rd Ste 150
Pantego, TX 76013-4631 - Phone
- (682) 551-4729
- Fax
- (855) 205-0626
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 32424 | TX | Primary |
Addresses
Primary practice location
3609 Smith Barry Rd Ste 150
Pantego, TX 76013-4631
Mailing address
3609 Smith Barry Rd Ste 150
Pantego, TX 76013-4631
Phone (682) 551-4729
Other practice location 1
217 York Ave
Weatherford, TX 76086-3251
Phone (682) 551-4729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0267874-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1407878671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 SMITH BARRY RD STE 150",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134631",
"telephone_number": "682-551-4729",
"fax_number": "855-205-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 SMITH BARRY RD STE 150",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134631",
"telephone_number": "682-551-4729",
"fax_number": "855-205-0626"
}
],
"practiceLocations": [
{
"address_1": "217 York Ave",
"address_purpose": "LOCATION",
"city": "Weatherford",
"state": "TX",
"postal_code": "760863251",
"country_code": "US",
"telephone_number": "682-551-4729",
"fax_number": "855-205-0626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "PARNELL",
"middle_name": "E.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "32424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0267874-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pantego, TX
- Robert Ray Romack, DDS
- Ronald J. Morlock, DDS, Inc.
- Roslynn's Healing Touch LLC (Roslynn's Healing Touch)
- Chava Shira Rousch-Carlisle, LCSW, APHSW-C
- Joseph Polani Ruane, D.C.
- Safe Havens of Kornerstone
- Safe Havens of Kornerstone (Kornerstone)
- Safepoint Healthcare Services
- Arlene Saldana, LPC
- Ali Alonso Salinas-Buentello, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.