Ryan Mark Tomkiewicz, M.ED., ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1566460 Issued in IN

Practice address

1001 Ohio St
La Porte, IN 46350-4301

Phone

(219) 362-2080

Fax

(219) 362-8102

NPI assigned

Jul 1, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1811732720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 INSTITUTE ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835035",
            "telephone_number": "219-242-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 OHIO ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463504301",
            "telephone_number": "219-362-2080",
            "fax_number": "219-362-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKIEWICZ",
        "first_name": "RYAN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "M.ED., ED.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "1566460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in La Porte, IN
• Providers in La Porte, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.