Active NPI
Thomas Vincent Ryan, PHD ABPP CN
- Clinical Psychologist
- Staunton, VA
National Provider Identifier
1750554036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001474
- Practice address
- 40 Lambert St
Suite 222
Staunton, VA 24401 - Phone
- (540) 886-3956
- Fax
- (540) 886-3975
- NPI assigned
- Apr 8, 2008
- Last updated
- Apr 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001474 | VA | Primary |
Addresses
Primary practice location
40 Lambert St
Suite 222
Staunton, VA 24401
Mailing address
40 Lambert St
Suite 222
Staunton, VA 24401
Phone (540) 886-3956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
40 Lambert St
Suite 222
Staunton, VA 24401-2446
Phone (540) 886-3956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001474 | VA | MD | Clinical Psychologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Staunton, VA
- NPI 1104287168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1750554036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LAMBERT ST",
"address_2": "SUITE 222",
"city": "STAUNTON",
"state": "VA",
"postal_code": "24401",
"telephone_number": "540-886-3956",
"fax_number": "540-886-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LAMBERT ST",
"address_2": "SUITE 222",
"city": "STAUNTON",
"state": "VA",
"postal_code": "24401",
"telephone_number": "540-886-3956",
"fax_number": "540-886-3975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "THOMAS",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "PHD ABPP CN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.