Active NPI
Suzan Johnson Ryan, PH D
- Psychologist
- Tarrytown, NY
National Provider Identifier
1942363809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006160-1
- Practice address
- 16 Rosehill Ave
Tarrytown, NY 10591-4125 - Phone
- (914) 631-2674
- Fax
- (914) 631-2674
- NPI assigned
- Dec 19, 2006
- 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 | 006160-1 | NY | Primary |
Addresses
Primary practice location
16 Rosehill Ave
Tarrytown, NY 10591-4125
Mailing address
16 Rosehill Ave
Tarrytown, NY 10591-4125
Phone (914) 631-2674
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006160-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942363809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ROSEHILL AVE",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914125",
"telephone_number": "914-631-2674",
"fax_number": "914-631-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 ROSEHILL AVE",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914125",
"telephone_number": "914-631-2674",
"fax_number": "914-631-2674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "SUZAN",
"middle_name": "JOHNSON",
"credential": "PH D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006160-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- 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.