Active NPI
Ryan Christopher Ernst, PSY.D.
- Prescribing (Medical) Psychologist
- Clarinda, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- CPC0001
- Practice address
- 220 Essie Davison Dr
Clarinda, IA 51632-2915 - Phone
- (712) 542-8354
- NPI assigned
- Apr 21, 2009
- Last updated
- Apr 28, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 089968 | IA | |
| Clinical Neuropsychologist | 103G00000X | 750 | NE | |
| Clinical Psychologist | 103TC0700X | 750 | NE | |
| Prescribing (Medical) Psychologist | 103TP0016X | CPC0001 | IA | Primary |
Addresses
Primary practice location
220 Essie Davison Dr
Clarinda, IA 51632-2915
Mailing address
3500 Potomac LN
Lincoln, NE 68516-5452
Phone (402) 318-6340
Other practice location 1
9100 Andermatt Dr Ste 1
Lincoln, NE 68526-6700
Phone (402) 434-2730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47079871726,27,29 | Medicaid | NE | |
| 96097 | Other | NE | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 67.97 of 100
- Quality
- 34.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089968 | IA | MD | Clinical Neuropsychologist |
| CPC0001 | IA | MD | Prescribing (Medical) Psychologist |
| 750 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Lake Behavioral Health, LLC. | Current | Accepting new patients | |
| Monarch Counseling, P.C. | Current | Accepting new patients | |
| Heartland Surgical Services, LLC. | Current | Accepting new patients | |
| Clarinda Regional Health Center | Current | Accepting new patients | |
| Clarinda Regional Health Center | Current | Accepting new patients |
Locations
220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330
620 N 48th St
Ste 202
Lincoln, NE 68504
Phone (402) 489-6196
9100 Andermatt Dr
Ste 1
Lincoln, NE 68526
Phone (402) 227-8157
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Clarinda, IA
- NPI 1366486946
-
dba Clarinda Medical Associates
- Family Medicine Physician
- Clarinda, IA
- NPI 1629196241
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1043529555
-
dba Pine Lake Behavioral Health
- Clinic/Center
- Lincoln, NE
- NPI 1003310061
-
- Clinical Neuropsychologist
- Grand Island, NE
- NPI 1265098172
-
- Clinic/Center
- Lincoln, NE
- NPI 1285283622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1811131840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 POTOMAC LN",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165452",
"telephone_number": "402-318-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ESSIE DAVISON DR",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516322915",
"telephone_number": "712-542-8354"
}
],
"practiceLocations": [
{
"address_1": "9100 Andermatt Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685266700",
"country_code": "US",
"telephone_number": "402-434-2730",
"fax_number": "402-434-3970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERNST",
"first_name": "RYAN",
"middle_name": "CHRISTOPHER",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-21",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IA",
"license": "089968",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NE",
"license": "750",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "750",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "IA",
"license": "CPC0001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47079871726,27,29",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "96097",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarinda, IA
- Ann Marie Davison, R.N.
- Lauren Rae Davison, ARNP
- Jessica L Divine, LMSW
- Easter Enterprises, Inc. (Easters Pharmacy)
- Sandra Lynn Ellison
- Anthony Ewigman, D.D.S
- Eyecare Associates of Southwest Iowa Inc
- Five Star Quality Care Ia LLC (Westridge Quality Care & Rehab)
- Foot and Ankle Center of Nebraska, P.C. (Foot & Ankle Center of Nebraska)
- Natasha Marie Furst, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.