Patricia Jo Ryan PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4642 Issued in FL

Legal business name

PATRICIA JO RYAN PHD PA

Practice address

422 Trento Drive
Venice, FL 34285

Phone

(941) 486-1930

Fax

(941) 866-2626

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Jo Ryan, PH.D.NPI 1760544803

Title

Psycholgist

Phone

(941) 486-1930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Patricia Jo Ryan, PH.D.

  • Clinical Psychologist
  • Venice, FL
  • NPI 1760544803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1639348188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 E VENICE AVE UNIT 104",
            "address_2": "PMB #200",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923074",
            "telephone_number": "941-486-1930",
            "fax_number": "941-866-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 TRENTO DRIVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34285",
            "telephone_number": "941-486-1930",
            "fax_number": "941-866-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA JO RYAN PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PSYCHOLGIST",
        "authorized_official_telephone_number": "941-486-1930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Paszko, APRN
• Joseph A Pata
• Naineshkumar Jayantilal Patel, PT
• Carissa Lynn Patete, MD
• Michael Louis Patete, MD, FACS
• Kara Patterson
• Jennifer K Paul, MA CCC-SLP
• Pawsitive Psychiatry, LLC
• Sharon Jean Peachey Marshall, PSY.D.
• Molly Peacock Millar

• Clinical Psychologist in Venice, FL
• Providers in Venice, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.