Active NPI
Ryan Smalley
- Clinical Psychologist
- Holton, KS
National Provider Identifier
1962923938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2775
- Practice address
- 713 Idaho Ave
Holton, KS 66436-1103 - Phone
- (785) 742-7113
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2775 | KS | Primary |
Addresses
Primary practice location
713 Idaho Ave
Holton, KS 66436-1103
Mailing address
1414 SW 16TH St Apt 305
Topeka, KS 66604-3460
Other practice location 1
909 S 2nd St
Hiawatha, KS 66434-2774
Phone (785) 742-7113
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2775 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanza Mental Health and Guidance Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Social Worker
- Hiawatha, KS
- NPI 1619909181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1962923938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 SW 16TH ST APT 305",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666043460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 IDAHO AVE",
"city": "HOLTON",
"state": "KS",
"postal_code": "664361103",
"telephone_number": "785-742-7113"
}
],
"practiceLocations": [
{
"address_1": "909 S 2nd St",
"address_purpose": "LOCATION",
"city": "Hiawatha",
"state": "KS",
"postal_code": "664342774",
"country_code": "US",
"telephone_number": "785-742-7113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMALLEY",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "2775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.