Colleen Ryan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

37977 Issued in KY

Practice address

Madison State Hospital
711 Green Rd.
Madison, IN 47250

Phone

(812) 265-7336

Fax

(812) 265-7487

NPI assigned

Jul 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

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 2

Specialty

Psychiatry

Education

University of Louisville School of Medicine, 1978

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Alteri, LLCGroup PAC ID 5698189405, 7 clinicians

MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alteri, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Lexington, KY
  • NPI 1528566114
  Medicare reassignment Care Compare group NPD
• MCCD FL Psychiatry Services PA

  dba Talkiatry

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457

  KY

  Medicare reassignment Care Compare group
• Porter-Starke Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valparaiso, IN
  • NPI 1689627598
  Medicare reassignment NPD
• State of Indiana, Auditor of State

  dba Madison State Hospital

  • Psychiatric Hospital
  • Madison, IN
  • NPI 1700876224
  Medicare reassignment NPD
• 2ND Chance

  • Addiction Medicine (Internal Medicine) Physician
  • Lexington, KY
  • NPI 1215348214
  Medicare reassignment NPD
• Baptist Health Deaconess Medical Group Inc

  • Internal Medicine Physician
  • Madisonville, KY
  • NPI 1437730942
  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment NPD
• Porter-Starke Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1659196236
  NPD
• State of Indiana, Auditor of State

  dba Indiana Department of Health

  • Public Health or Welfare Agency
  • Indianapolis, IN
  • NPI 1023613403
  NPD
• State of Indiana, Auditor of State

  dba Madison State Hospital

  • Psychiatric Hospital
  • Madison, IN
  • NPI 1659497477
  NPD
• 2ND Chance

  dba 2nd Chance Convenient Care

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1568128957
  NPD
• Alteri, LLC

  dba Alteri LLC- Frankfrot

  • Addiction (Substance Use Disorder) Counselor
  • Frankfort, KY
  • NPI 1588202154
  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1649292376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082305",
            "telephone_number": "502-558-3192",
            "fax_number": "502-409-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADISON STATE HOSPITAL",
            "address_2": "711 GREEN RD.",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "47250",
            "telephone_number": "812-265-7336",
            "fax_number": "812-265-7487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2nd Chance Addiction Clinic",
            "address_2": "1420 North Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40505",
            "country_code": "US",
            "telephone_number": "859-368-8820",
            "fax_number": "859-368-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IN",
            "license": "01035114A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "37977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64073943",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer D Roney, M.D.
• Paul S Rosenberg, M.D.
• Phillip A Ross, M.D.
• Roy D Eaglin DMD
• Dan Rudin, MD
• Lori Sachleben
• Debra Ann Sadler, MSW
• Melanie Sample, RN
• Christina Dawn Sauley-Kernen, P.T.A.
• Rebecca Schanding

• Psychiatry Physician in Madison, IN
• Providers in Madison, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.

Verify at the official NPI Registry.