Active NPI
Nancy Elizabeth Ryburn, PH.D., M.A.
- Clinical Psychologist
- Pine Bluff, AR
National Provider Identifier
1811050529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016110
- Practice address
- 17 Elmwood Cir
Pine Bluff, AR 71603-7139 - Phone
- (870) 850-6264
- NPI assigned
- Dec 18, 2006
- Last updated
- May 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 016110 | NY | Primary |
Addresses
Primary practice location
17 Elmwood Cir
Pine Bluff, AR 71603-7139
Mailing address
17 Elmwoods Circle
Pine Bluff, AR 71603
Phone (870) 850-6264
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)
- Enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016110 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive-Behavioral Psychologists, PLLC | Clinical | Past | Accepting new patients |
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.
-
dba Institute for Behavior Therapy
- Clinical Psychologist
- New York, NY
- NPI 1740328723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1811050529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ELMWOODS CIRCLE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "71603",
"telephone_number": "870-850-6264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 ELMWOOD CIR",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716037139",
"telephone_number": "870-850-6264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYBURN",
"first_name": "NANCY",
"middle_name": "ELIZABETH",
"credential": "PH.D., M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.