Active NPI
Joseph Michael Ryan, MFT
- Marriage & Family Therapist
- Hawthorne, CA
National Provider Identifier
1649833195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT44561
- Practice address
- 5514 W 149TH PL Unit 11
Hawthorne, CA 90250-6674 - Phone
- (323) 346-8613
- Fax
- (323) 346-8613
- NPI assigned
- Apr 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT44561 | CA | Primary |
Addresses
Primary practice location
5514 W 149TH PL Unit 11
Hawthorne, CA 90250-6674
Mailing address
5514 W 149TH PL Unit 11
Hawthorne, CA 90250-6674
Phone (323) 346-8613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT44561 | CA | MD | Marriage & Family Therapist |
| 44561 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1649833195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5514 W 149TH PL UNIT 11",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902506674",
"telephone_number": "323-346-8613",
"fax_number": "323-346-8613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5514 W 149TH PL UNIT 11",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902506674",
"telephone_number": "323-346-8613",
"fax_number": "323-346-8613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT44561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.