Ryan M Kerzman, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

71008860 Issued in IL

Practice address

16335 Harlem Ave
Suite 401
Tinley Park, IL 60477-2574

Phone

(773) 332-7832

Fax

(773) 332-7832

NPI assigned

Feb 4, 2013

Last updated

Jul 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Corespace Counseling, LLC

  • Clinical Psychologist
  • Tinley Park, IL
  • NPI 1225425713
  NPD (past) Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1679812192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16335 HARLEM AVE",
            "address_2": "SUITE 401",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772574",
            "telephone_number": "773-332-7832",
            "fax_number": "773-332-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16335 HARLEM AVE",
            "address_2": "SUITE 401",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772574",
            "telephone_number": "773-332-7832",
            "fax_number": "773-332-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERZMAN",
        "first_name": "RYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71008860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Kelley, MSW, LCSW
• Caitlin Kelly
• Karla Kennedy, APN
• Barry Kenny
• Molly Kerbel, APRN, CNP
• Ebony Josephine Keys
• Kezon Chiropractic LLC
• Daniel P. Kezon Jr., D.C.
• Jihan Khalaf
• Ali Khalil, PHARM D

• Clinical Psychologist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.