Wyatt Elliott Ryan, LMFT 93606

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 93606 Issued in CA

Practice address

473 Sandercock St
2180 Johnson Ave
San Luis Obispo, CA 93401-5158

Phone

(805) 801-0081

Fax

(805) 547-1782

NPI assigned

Feb 7, 2012

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

Other names 1

• Wyatt Elliott Ryan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1700158680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 SANDERCOCK ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015158",
            "telephone_number": "805-801-0081",
            "fax_number": "805-547-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 SANDERCOCK ST",
            "address_2": "2180 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015158",
            "telephone_number": "805-801-0081",
            "fax_number": "805-547-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "WYATT",
        "middle_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "LMFT 93606",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 93606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WYATT",
            "last_name": "RYAN",
            "middle_name": "ELLIOTT",
            "credential": "LMFT 93606",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hayley Ann Ryan
• Katherine Ryan, EDS
• Marissa Ryan
• Michael J Ryan, M.D
• Robert Ryan, PSY.D
• Cody Ryska
• S.L.O County Behavioral Health
• Matthew Joseph Sabatino, M.D.
• Drew Sabec
• Megan Janet Sabosky

• Marriage & Family Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.