Active NPIIndividual providerSole proprietor

Dr. Elizabeth Ryan, PHD

Psychologist, Clinical in Santa Monica, California

NPI Number1609276617
Practice location
2834 Colorado Ave, Santa Monica, CA 90404-3631
Fax
—
Last updated
October 2, 2023

Elizabeth Ryan is a Psychologist, Clinical based in Santa Monica, CA. Elizabeth Ryan practices in Santa Monica, CA and has the professional credentials of PHD. The NPI Number for Elizabeth Ryan is 1609276617 and holds a License No. 10289 (MA). The current practice location address for Elizabeth Ryan is 2834 Colorado Ave, Santa Monica, CA 90404-3631 and can be reached out via phone at 617-870-6554.

Provider Profile Details

NPI Number
1609276617
Provider Name
Elizabeth Ryan
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
2834 Colorado Ave, Santa Monica, CA 90404-3631
Phone Number
617-870-6554
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 27, 2014
Last Update Date
October 2, 2023
Certification Date
October 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2834 Colorado Ave
Santa Monica, CA 90404-3631
Zip
90404-3631
Phone Number
617-870-6554
Santa Monica, CA 90404Get directions →

Provider Business Mailing Address Details

Address
831 Beacon St # 202
Newton, MA 02459-1822
City
Newton
State
MA
Zip
02459-1822
Phone Number
617-870-6554

License Information

License Number
10289
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elizabeth Ryan, PHD?

The NPI number of Dr. Elizabeth Ryan, PHD is 1609276617. It was assigned on August 27, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Elizabeth Ryan, PHD?

Dr. Elizabeth Ryan, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 10289.

Where does Dr. Elizabeth Ryan, PHD practice?

The practice location is 2834 Colorado Ave, Santa Monica, CA 90404-3631. The office can be reached at 617-870-6554 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609276617 directly on the NPPES registry website.

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