Victoria Young Ryan, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

005618 Issued in FL

Practice address

2323 Wooster LN
Suite 1
Sanibel, FL 33957-3223

Phone

(239) 472-6877

Fax

(239) 472-6870

NPI assigned

May 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780636258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 WOOSTER LN",
            "address_2": "SUITE 1",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339573223",
            "telephone_number": "239-472-6877",
            "fax_number": "239-472-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 WOOSTER LN",
            "address_2": "SUITE 1",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339573223",
            "telephone_number": "239-472-6877",
            "fax_number": "239-472-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "VICTORIA",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "005618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "54380",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Olson-Basora, MD
• Optometrica O D P a
• P Denis Kuehner D O P a (San Cap Medical Center)
• Phong Michael Pham, O.D.
• Michael Franz Raab, MD
• Merritt Sacks, PHARMD
• Sanibel Internal Medicine LLC
• Sanibel Island Dental LLC
• Sanibel Medical, Inc.
• Sarah Thiessen, PLLC (Island Waters Counseling)

• Psychologist in Sanibel, FL
• Providers in Sanibel, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.