Maureen Kenneally Ryan, EDM CERT PSYCHOANALY

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

0980000187 Issued in VT

Practice address

5 Aqueduct Road
Natick, MA 01960

Phone

(508) 655-3119

NPI assigned

May 22, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1578772802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AQUEDUCT ROAD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "508-655-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 AQUEDUCT ROAD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "508-655-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MAUREEN",
        "middle_name": "KENNEALLY",
        "name_prefix": "Mrs.",
        "credential": "EDM CERT PSYCHOANALY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000201",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "VT",
            "license": "0980000187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Russ, P.A.-C
• Ahreea Rustum, PHARMD
• Jennifer Rutland
• Christopher Rutt, PHD
• Jenna-Jon Ryan
• Bruce Alan Sabian, BRUCE SABIAN, M.A.
• Charles Jonathan Sachs, PHD
• Barry Aubrey Sacks, M.D.
• Hayley Sager
• Nayri Sahagian Balmanoukian, C-PNP

• Psychoanalyst in Natick, MA
• Providers in Natick, MA by specialty
• Psychoanalyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.