Individual provider Active NPI

Ryan Daniel Ritch, MD

  • Child & Adolescent Psychiatry Physician
  • Tuscaloosa, AL
National Provider Identifier
1508495458
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
54305 Issued in AL
Practice address
535 Jack Warner Pkwy NE Ste G1
Tuscaloosa, AL 35404-5715
Phone
(334) 275-7440
Fax
(334) 218-5815
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 54305 AL Primary

Addresses

Primary practice location

535 Jack Warner Pkwy NE Ste G1
Tuscaloosa, AL 35404-5715

Mailing address

2205 Cahaba Valley Dr
Birmingham, AL 35242-2602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806003760 ID Practitioner - Psychiatry 7214350263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jul 11, 2025 Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1075 E Park Blvd
Boise, ID 83712
Phone (208) 381-5970

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1508495458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CAHABA VALLEY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE STE G1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045715",
            "telephone_number": "334-275-7440",
            "fax_number": "334-218-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCH",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "54305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.