Ryan Marriage and Family Relationship Therapist, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RYAN MARRIAGE AND FAMILY RELATIONSHIP THERAPIST, LLC

Practice address

18205 N 51St Ave Ste 136
Glendale, AZ 85308-1492

Phone

(623) 399-2267

Fax

(866) 340-1836

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Patti Marie Ryan, LMFT LISACNPI 1962574251

Title

Therapist/Owner

Phone

(623) 399-2267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patti Ryan, LMFT

  • Mental Health Counselor
  • Glendale, AZ
  • NPI 1962574251
  Medicare reassignment NPD Authorized official
• Katelyn Mae Grant, MS, LPC, NCC

  • Mental Health Counselor
  • Glendale, AZ
  • NPI 1063869337
  NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1619743754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 136",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081492",
            "telephone_number": "623-399-2267",
            "fax_number": "866-340-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 136",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081492",
            "telephone_number": "623-399-2267",
            "fax_number": "866-340-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN MARRIAGE AND FAMILY RELATIONSHIP THERAPIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "623-399-2267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica J Ruston, D.O.
• Eric Ruta, O.D.
• Karla Renae Rutherford
• Amber Rutt-Shepard, M.S., CCC-SLP, OTR L
• Rva Surgical Inc
• Amy Rose Ryan, OTR-L
• Candace Lynn Ryan, PAC
• Lawrence R Ryan, D.O.
• Patricia M. Ryan, CCC-S
• Patti Ryan, LMFT

• Community/Behavioral Health Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.