NPIMap

Individual provider Active NPI

Zachary Ryder, M.D.

  • Psychiatry Physician
  • Lake Charles, LA
National Provider Identifier
1942689211
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R0115 Issued in TX
Practice address
2829 4TH Ave Ste 150
Lake Charles, LA 70601
Phone
(337) 480-7800
Fax
(337) 474-4552
NPI assigned
May 20, 2015
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R0115 TX Primary

Addresses

Primary practice location

2829 4TH Ave Ste 150
Lake Charles, LA 70601

Mailing address

2829 4TH Ave Ste 150
Lake Charles, LA 70601-7897
Phone (337) 480-7805

Other practice location 1

2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-2585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zryder72937@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170221001361 TX Practitioner - Psychiatry 1951681709 Reassigns benefits to 1 organization
I20220926001087 LA Practitioner - Psychiatry 1951681709 Reassigns benefits to 3 organizations
Practice locations: Lake Charles, LA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in Shreveport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MMG Archer Institute, LLCGroup PAC ID 7719227115, 16 clinicians
Access Serenity of Louisiana LLCGroup PAC ID 4385985803, 13 clinicians

Practice addresses (Care Compare)

1701 Oak Park Blvd
Lake Charles, LA 70601-8911

2601 Dimmitt Rd
Suite 400
Plainview, TX 79072-1833
Phone (806) 296-9191

2615 Enterprise Blvd
Suite a
Lake Charles, LA 70601-7686
Phone (337) 480-7800

2837 Ernest St
Suite C
Lake Charles, LA 70601-8785

4402 Sterlington Rd
Monroe, LA 71203-2338
Phone (337) 802-1336

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R0115TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiance Behavioral Health Center of Plainview, LLC CurrentSince Sep 4, 2022 Accepting new patients
MMG Archer Institute, LLC Psychiatry CurrentSince Oct 1, 2022 Accepting new patients
CLHG-Ville Platte LLC Past Accepting new patients
Stonebridge Health Systems, LLC Past Accepting new patients
Allegiance Health Center of Ruston LLC Past Accepting new patients
Southwest Louisiana Hospital Association Inc PastSince May 8, 2022 Accepting new patients
CLHG - Minden, LLC Past Accepting new patients

Locations

2615 Enterprise Blvd
Ste A
Lake Charles, LA 70601
Phone (337) 480-7800

2829 4th Ave
Ste 150
Lake Charles, LA 70601
Phone (337) 477-7091

2601 Dimmitt Rd
Ste 400
Plainview, TX 79072
Phone (806) 296-9191

Interoperability endpoints

  • Direct secure messaging: zryder5281867@direct.casso.us.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Freedom Behavioral Hospital of MonroeMonroe, LA, CCN 194087 Hospital Contracted Managing Employee Jan 1, 2026
Freedom Behavioral Hospital of MonroeMonroe, LA, CCN 194087A Hospital Contracted Managing Employee Jan 1, 2026
Freedom Behavioral Hospital of Lake CharlesLake Charles, LA, CCN 194120 Hospital Contracted Managing Employee Sep 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1942689211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 4TH AVE STE 150",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017897",
            "telephone_number": "337-480-7805",
            "fax_number": "337-474-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 4TH AVE STE 150",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-480-7800",
            "fax_number": "337-474-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYDER",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R0115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zryder72937@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.