Active NPI
Ryon C McDermott, PHD
- Psychologist
- Mobile, AL
National Provider Identifier
1659027076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1994
- Practice address
- 1156 Spring Hill Ave
Mobile, AL 36604-2726 - Phone
- (866) 648-7334
- Fax
- (251) 405-3323
- NPI assigned
- Feb 24, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1994 | AL | Primary |
Addresses
Primary practice location
1156 Spring Hill Ave
Mobile, AL 36604-2726
Mailing address
PO Box 41241
Mobile, AL 36640-1241
Phone (866) 648-7334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257843 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1994 | AL | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Recovery Resources | Current | Accepting new patients | |
| Veterans Recovery Resources | Current | Accepting new patients |
Locations
1200B Spring Hill Ave
Mobile, AL 36604
Phone (251) 405-3677
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Mobile, AL
- NPI 1285140004
-
- Substance Abuse Rehabilitation Facility
- Mobile, AL
- NPI 1699510198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1659027076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41241",
"city": "MOBILE",
"state": "AL",
"postal_code": "366401241",
"telephone_number": "866-648-7334",
"fax_number": "251-405-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 SPRING HILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042726",
"telephone_number": "866-648-7334",
"fax_number": "251-405-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "RYON",
"middle_name": "C",
"name_prefix": "Miss",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "1994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257843",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.