Active NPI
Mary Agnes Ryan, PHD LLP
- Counseling Psychologist
- Taylor, MI
National Provider Identifier
1811962632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301003136
- Practice address
- 21751 Ecorse Rd
Taylor, MI 48180-1846 - Phone
- (313) 291-7000
- Fax
- (313) 291-0942
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301003136 | MI | Primary |
Addresses
Primary practice location
21751 Ecorse Rd
Taylor, MI 48180-1846
Mailing address
21751 Ecorse Rd
Taylor, MI 48180-1846
Phone (313) 291-7000
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301003136 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811962632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21751 ECORSE RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481801846",
"telephone_number": "313-291-7000",
"fax_number": "313-291-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21751 ECORSE RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481801846",
"telephone_number": "313-291-7000",
"fax_number": "313-291-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MARY",
"middle_name": "AGNES",
"credential": "PHD LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301003136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.