Individual provider Active NPI

Ryan Christopher Ernst, PSY.D.

  • Prescribing (Medical) Psychologist
  • Clarinda, IA
National Provider Identifier
1811131840
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
CPC0001 Issued in IA
Practice address
220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone
(712) 542-8354
NPI assigned
Apr 21, 2009
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47079871726,27,29MedicaidNE
96097OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100813001039 NE Practitioner - Clinical Psychologist 2062546989 Reassigns benefits to 2 organizations
I20190826000629 IA Practitioner - Clinical Psychologist 2062546989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.97 of 100Reported as apm
Quality
34.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089968IAMDClinical Neuropsychologist
CPC0001IAMDPrescribing (Medical) Psychologist
750NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Lake Behavioral Health, LLC. CurrentSince May 1, 2023 Accepting new patients
Monarch Counseling, P.C. CurrentSince Jan 4, 2015 Accepting new patients
Heartland Surgical Services, LLC. CurrentSince May 1, 2023 Accepting new patients
Clarinda Regional Health Center Current Accepting new patients
Clarinda Regional Health Center CurrentSince Dec 2, 2019 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.

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

Sources for this page

Verify at the official NPI Registry.