Active NPI
Ryan L. Dunn, PH.D.
- Psychologist
- Dover, OH
National Provider Identifier
1487642385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5154
- Practice address
- 130 W 3Rd St
Dover, OH 44622-2934 - Phone
- (330) 343-6600
- Fax
- (330) 343-6405
- NPI assigned
- Oct 13, 2005
- 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 | 5154 | OH | Primary |
Addresses
Primary practice location
130 W 3Rd St
Dover, OH 44622-2934
Mailing address
130 W 3Rd St
Dover, OH 44622-2934
Phone (330) 343-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0321100 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 W 3Rd St
Dover, OH 44622-2934
Phone (330) 343-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5154 | OH | MD | Psychologist |
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.
-
- Psychologist
- Dover, OH
- NPI 1033224761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1487642385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W 3RD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222934",
"telephone_number": "330-343-6600",
"fax_number": "330-343-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W 3RD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222934",
"telephone_number": "330-343-6600",
"fax_number": "330-343-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "RYAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0321100",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.