Katherine K. Ryan, PHD, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1334 Issued in ME

Legal business name

KATHERINE K. RYAN, PHD, LLC

Practice address

251 Woodford St
Portland, ME 04103-5617

Phone

(207) 773-2828

Fax

(207) 761-8150

NPI assigned

Jul 23, 2012

Last updated

Oct 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine K Ryan, PH.D.

Title

Owner/Psychologist

Phone

(508) 284-1210

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1932454352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WOODFORD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035617",
            "telephone_number": "207-773-2828",
            "fax_number": "207-761-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WOODFORD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035617",
            "telephone_number": "207-773-2828",
            "fax_number": "207-761-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE K. RYAN, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "508-284-1210",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "ME",
            "license": "1334",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "ME",
            "license": "1334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte A Kassab, MD
• Jason Kassir, DMD
• Tomoyo Kasuya, SRNA
• Kate Clark, LCSW
• Kate Lynch DC LLC (Chiropractic & Sports Health)
• Kathryn L. Horutz, D.M.D. LLC
• Alexander George Katopis, LCPC
• Alana R Katz, LMSW-CC
• Harry R Katz, LCSW
• James A Katz, M.D.

• Adult Mental Health Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Adult Mental Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.