Douglas Ryder, IMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

F.2300310 Issued in OH

Practice address

25111 Country Club Blvd Ste 290
North Olmsted, OH 44070-5330

Phone

(216) 468-5000

NPI assigned

Dec 30, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/beyondhc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  Medicare reassignment Care Compare group NPD
• New Leaf Counseling Services LLC

  • Professional Counselor
  • Avon Lake, OH
  • NPI 1609197631
  NPD
• Beyond Behavioral Healthcare, LLC

  • Community/Behavioral Health Agency
  • Fairlawn, OH
  • NPI 1407444128
  NPD (past)

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1891334579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25111 COUNTRY CLUB BLVD STE 290",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705330",
            "telephone_number": "216-468-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25111 COUNTRY CLUB BLVD STE 290",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705330",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22001 Fairmount Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441184897",
            "country_code": "US",
            "telephone_number": "216-932-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Tuscarawas St W",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447022042",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Miller Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Avon Lake",
            "state": "OH",
            "postal_code": "440121013",
            "country_code": "US",
            "telephone_number": "440-742-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYDER",
        "first_name": "DOUGLAS",
        "credential": "IMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.2000154",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M1900155-TRNE",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2300310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Rowson, O.D.
• Paul Wayne Rupright
• Aimee Elizabeth Ruscin
• Bridget Ryan
• Sarah Jane Rybarczyk
• Rania Salameh, PHARMD
• Amy Elizabeth Salim, LISW-S, LICDC-CS
• Roberta M Samalot
• Shauna Sartoski, R.N.
• Debra Ann Savage, REGISTERED NURSE

• Marriage & Family Therapist in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.