Individual provider Active NPI

Ryan Schallon

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1467314641
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.022554 Issued in IL
Practice address
3759 N Ravenswood Ave Ste 227
Chicago, IL 60613-3881
Phone
(206) 240-0276
Fax
(206) 240-0276
NPI assigned
Nov 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.022554 IL Primary

Addresses

Primary practice location

3759 N Ravenswood Ave Ste 227
Chicago, IL 60613-3881

Mailing address

3759 N Ravenswood Ave Ste 227
Chicago, IL 60613-3881
Phone (206) 240-0276

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

State licenses

LicenseStateTypeSpecialty
071.022554ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Schallon PSYD CurrentSince Nov 30, 2025 Accepting new patients

Locations

3759 N Ravenswood Ave
Ste 227
Chicago, IL 60613
Phone (206) 240-0276

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1467314641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 N RAVENSWOOD AVE STE 227",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133881",
            "telephone_number": "206-240-0276",
            "fax_number": "206-240-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3759 N RAVENSWOOD AVE STE 227",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133881",
            "telephone_number": "206-240-0276",
            "fax_number": "206-240-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLON",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.022554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.