Active NPI
Ryan T Ford
- Psychologist
- Goldsboro, NC
National Provider Identifier
1700330651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5476
- Practice address
- 2307 Norwood Ave Ste a
Goldsboro, NC 27534-1601 - Phone
- (252) 493-6525
- NPI assigned
- Aug 9, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10947 | NE | |
| Mental Health Counselor | 101YM0800X | 565 | NE | |
| Psychologist | 103T00000X | 5476 | NC | Primary |
Addresses
Primary practice location
2307 Norwood Ave Ste a
Goldsboro, NC 27534-1601
Mailing address
2307 Norwood Ave Ste a
Goldsboro, NC 27534-1601
Phone (252) 493-6525
Other practice location 1
444 S 44th St
Omaha, NE 68131-3727
Phone (402) 559-6408
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 |
|---|---|---|---|
| 10947 | NE | MD | Mental Health Counselor |
| 5476 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova-Ic, Inc. | Psychologist | Past | Accepting new patients |
| Tidal Integrated Health, Inc | Psychologist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1700330651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 NORWOOD AVE STE A",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341601",
"telephone_number": "252-493-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 NORWOOD AVE STE A",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341601",
"telephone_number": "252-493-6525"
}
],
"practiceLocations": [
{
"address_1": "444 S 44th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681313727",
"country_code": "US",
"telephone_number": "402-559-6408",
"fax_number": "402-559-5737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD",
"first_name": "RYAN",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-09",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "10947",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "565",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.