Active NPI
Robert Ryan, LPC
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1669856480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008285
- Practice address
- 5180 Campbells Run Rd
Pittsburgh, PA 15205-9731 - Phone
- (412) 788-8219
- Fax
- (412) 788-8215
- NPI assigned
- Jul 10, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008285 | PA | Primary |
Addresses
Primary practice location
5180 Campbells Run Rd
Pittsburgh, PA 15205-9731
Mailing address
5180 Campbells Run Rd
Pittsburgh, PA 15205-9731
Phone (412) 788-8219
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008285 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Behavioral Diagnostics and Treatment, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Moon TWP, PA
- NPI 1659649911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1669856480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5180 CAMPBELLS RUN RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152059731",
"telephone_number": "412-788-8219",
"fax_number": "412-788-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5180 CAMPBELLS RUN RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152059731",
"telephone_number": "412-788-8219",
"fax_number": "412-788-8215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ROBERT",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-10",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.