Tyler J Ryan

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

265975 Issued in KY

Practice address

4220 Houston Rd
Erlanger, KY 41018-3402

Phone

(859) 727-6700

NPI assigned

Oct 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PPL Therapeutic Services PLLCGroup PAC ID 8527323989, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• PPL Therapeutic Services PLLC

  • Professional Counselor
  • Crestwood, KY
  • NPI 1104323252

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1467050856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 SAINT JAMES PL",
            "city": "VERONA",
            "state": "KY",
            "postal_code": "410928325",
            "telephone_number": "859-489-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HOUSTON RD",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410183402",
            "telephone_number": "859-727-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Thomas",
            "state": "KY",
            "postal_code": "410751707",
            "country_code": "US",
            "telephone_number": "859-572-0660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TYLER",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "265975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rotherts Hospital Equipment Inc (Rotech of Crestview Hills)
• Carolyn Rouse
• Kristine Rumer, NP
• Rural Metro of Southern Ohio Inc (American Medical Response - Northern Kentucky)
• Priscilla Ryan, M.S., CCC-SLP
• Safe Track Transportation
• Erica Lauren Scanlon
• Schepman Enterprises Inc. (Medicine Mart)
• Elizabeth G. Schlosser, PHARMD
• Stephanie Schraer, LCSW

• Clinical Psychologist in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.