Active NPI
Joseph Ryan, M.S., BCBA
- Behavior Analyst
- Concord, NH
National Provider Identifier
1992470967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49212
- Practice address
- 57 Regional Dr Ste 7
Concord, NH 03301-8518 - Phone
- (603) 224-7630
- NPI assigned
- Aug 12, 2021
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-49212 | Primary |
Addresses
Primary practice location
57 Regional Dr Ste 7
Concord, NH 03301-8518
Mailing address
57 Regional Dr Ste 7
Concord, NH 03301-8518
Phone (603) 224-7630
Other practice location 1
580 Laconia Rd
Tilton, NH 03276-5321
Phone (603) 527-8620
Other practice location 2
470 Pine St
Manchester, NH 03104-6222
Phone (603) 792-0077
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Gersh | Past | Accepting new patients | |
| Kevin Gersh | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Concord, NH
- NPI 1730852286
-
- Speech-Language Pathologist
- Concord, NH
- NPI 1952032732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1992470967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 REGIONAL DR STE 7",
"city": "CONCORD",
"state": "NH",
"postal_code": "033018518",
"telephone_number": "603-224-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 REGIONAL DR STE 7",
"city": "CONCORD",
"state": "NH",
"postal_code": "033018518",
"telephone_number": "603-224-7630"
}
],
"practiceLocations": [
{
"address_1": "580 Laconia Rd",
"address_purpose": "LOCATION",
"city": "Tilton",
"state": "NH",
"postal_code": "032765321",
"country_code": "US",
"telephone_number": "603-527-8620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "470 Pine St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031046222",
"country_code": "US",
"telephone_number": "603-792-0077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "JOSEPH",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-49212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.