Active NPI
Erin J Ryan, PH.D.
- Psychologist
- Staten Island, NY
National Provider Identifier
1841581923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018027-1
- Practice address
- 61 Constant Ave
Staten Island, NY 10314-2903 - Phone
- (718) 877-9796
- NPI assigned
- Apr 25, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018027-1 | NY | Primary |
Addresses
Primary practice location
61 Constant Ave
Staten Island, NY 10314-2903
Mailing address
61 Constant Ave
Staten Island, NY 10314-2903
Phone (718) 877-9796
Other names 1
- Mrs. Erin Ryan Genovese
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 |
|---|---|---|---|
| 018027-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1841581923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CONSTANT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103142903",
"telephone_number": "718-877-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 CONSTANT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103142903",
"telephone_number": "718-877-9796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ERIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2021-05-20",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018027-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "GENOVESE",
"middle_name": "RYAN",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.