Ryan Boddy, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3221 Issued in TN

Practice address

9129 Cross Park Dr Ste 100
Knoxville, TN 37923-4505

Phone

(865) 983-1899

Fax

(865) 409-5948

NPI assigned

Oct 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Knoxville Behavioral & Mental Health Services

  • Developmental - Behavioral Pediatrics Physician
  • Knoxville, TN
  • NPI 1710444310

  Clinical Neuropsychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1669800769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9129 CROSS PARK DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234505",
            "telephone_number": "865-983-1899",
            "fax_number": "865-409-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9129 CROSS PARK DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234505",
            "telephone_number": "865-983-1899",
            "fax_number": "865-409-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDY",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3221",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "3221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Lorraine Bobby, PT, DPT
• Katherine Elizabeth Bobinski
• Lindsay Bock, B.S.
• X-Zaviana Boddie
• Arianna Boddy, PSY.D.
• Marc A. Bodenheimer, M.D.
• Danielle Bodey
• Shannon R Bodiford, FNP-BC
• Body Mind Realign Inc
• Aimee Boer

• Clinical Neuropsychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Neuropsychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.

Verify at the official NPI Registry.