Organization Active NPI

Ryan C Staley, LLC

  • Clinical Psychologist
  • Manhattan, KS
National Provider Identifier
1972932168
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2172 Issued in KS
Legal business name
RYAN C STALEY, LLC
Practice address
1408 Poyntz Ave
Manhattan, KS 66502-4145
Phone
(785) 776-4105
NPI assigned
Nov 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Dr. Ryan Christopher Staley, PSY.D.
Title
Clinical Psychologist
Phone
(785) 766-2947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2172 KS Primary

Addresses

Primary practice location

1408 Poyntz Ave
Manhattan, KS 66502-4145

Mailing address

907 Osage St
Manhattan, KS 66502-5436

National Provider Directory

National Provider Directory

Locations

1408 Poyntz Ave
Manhattan, KS 66502
Phone (785) 776-4105

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1972932168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 OSAGE ST",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024145",
            "telephone_number": "785-776-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN C STALEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "785-766-2947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.