DR. MARY GRACE RYDER (NPI# 1487860052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487860052 |
| Entity Type | Individual |
| Full Name | DR. MARY GRACE RYDER |
| Credential | PH.D. |
| Practice Address |
1823 Callowhill St Philadelphia PA 19130-4109 |
| Mailing Address |
1714a Bainbridge St Philadelphia PA 19146-1928 |
| Practice Telephone | 2154960707 |
| Mailing Telephone | 2159851038 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS008169L | PA | Behavioral Health & Social Service Providers |
| Street Address |
1823 CALLOWHILL ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225184922 | Adriana N. Torres | Psychologist | 1823 Callowhill St, Philadelphia, PA 19130-4109 | 2007-01-26 |
| 1013116870 | Susan Mary Stimmell | Counselor | 1823 Callowhill St, Philadelphia, PA 19130-4109 | 2007-07-12 |
| 1821292053 | Kim Meredith | Social Worker | 1823 Callowhill St, Philadelphia, PA 19130-4109 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
| 1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
| 1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1386042679 | Jann Glider | Psychologist | 6811 Quincy St, Philadelphia, PA 19119-2663 | 2014-12-18 |
| 1871756486 | West Philadelphia Community Mental Health Consortium Inc. | Psychologist | 2020 Pennsylvania Ave, Philadelphia, PA 19130-3832 | 2008-07-03 |
| 1588836118 | Joshua Balogun Medical Center | Psychologist | 5044 Spruce Street, Philadelphia, PA 19139-4148 | 2008-03-24 |
| 1154531002 | Chiara Linda Nuzzo | Psychologist | 7219 Devon St, Philadelphia, PA 19119-1709 | 2007-05-22 |
| 1881219152 | Jill Mara Plevinsky | Psychologist | 3440 Market St, Philadelphia, PA 19104-3325 | 2020-06-12 |
| 1568085223 | Jamie Novak Shoop | Psychologist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-05-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
Please comment or provide details below to improve the information on DR. MARY GRACE RYDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.