Edward Robert Ryan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

000545 Issued in CT

Practice address

291 Whitney Ave
Suite 201
New Haven, CT 06511-3724

Phone

(203) 562-5978

NPI assigned

Dec 11, 2006

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

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861552796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 WHITNEY AVE",
            "address_2": "SUITE 201",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113724",
            "telephone_number": "203-562-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 WHITNEY AVE",
            "address_2": "SUITE 201",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113724",
            "telephone_number": "203-562-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "000545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Edward Russo Jr., M.D.
• Lauren Katharine Ruth, PH.D.
• Katherine Presley Rutland, APRN
• Will Rutland, M.D.
• Christine Bethany Ryan, MD, PHD
• Kyle G Ryan, CRNA
• Mark G Ryan
• Meaghan Ryan, M.A., CCC-SLP
• Meghan Margaret Ryan, DNP, CRNA, APRN
• Michele Devereux Ryan, LCSW

• Clinical Psychologist in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.