DR. ROBERT RYAN (NPI# 1760884670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760884670 |
| Entity Type | Individual |
| Full Name | DR. ROBERT RYAN |
| Credential | PSY.D |
| Practice Address |
1 Hwy 1 San Luis Obispo CA 93409-8101 |
| Mailing Address |
Po Box 16040 San Luis Obispo CA 93406-6040 |
| Practice Telephone | 8055477900 |
| Practice Fax Number | 8055477764 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 20168 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1437491396 | Robert A Ryan | Surgery | 1127 Forest Hill Rd, Lake Forest, IL 60045-4009 | 2013-03-19 |
| 1164744041 | Robert Russell Ryan | Pharmacist | 7 Harbor Way, Sea Cliff, NY 11579-2125 | 2010-02-19 |
| 1275680985 | Robert P Ryan | Emergency Medicine | 16315 Old Stable Rd, San Antonio, TX 78247 | 2007-01-04 |
| 1295804169 | Robert William Ryan | Dentist | 1229 Hancock St, Quincy, MA 02169 | 2006-11-07 |
| 1457432866 | Robert N Ryan | Dentist | 555 Salem St, Chico, CA 95928-5536 | 2006-10-18 |
| 1780764258 | Robert Thomas Ryan IIi | Urology | 1339 E Court Street, Suite 220, Seguin, TX 78155-5141 | 2006-10-17 |
| 1164512810 | Robert Paul Ryan | Chiropractor | 655 Creekside Dr, Suite H, Oxford, AL 36203-1292 | 2006-10-13 |
| 1093743239 | Robert Eldon Ryan IIi | Pediatrics | 5415 Topa Topa Dr, Ventura, CA 93003-1148 | 2006-06-28 |
| 1497795603 | Robert William Ryan | Dentist | 6507 Beechmont Ave, Cincinnati, OH 45230-2003 | 2006-06-07 |
| Street Address |
1 HWY 1 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93409-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644580 | Corrections and Rehabilitation | Pharmacy | Highway 1, San Luis Obispo, CA 93409 | 2020-03-17 |
| 1356976252 | Corrections and Rehabilitation | Pharmacy | Highway 1, Bk-3, San Luis Obispo, CA 93409 | 2020-03-11 |
| 1730625054 | Arlene Pereida | Recreation Therapist | Highway 1, Slo, CA 93409 | 2017-01-10 |
| 1912367954 | Jessica Zelikman | Psychologist | California Mens Colony, San Luis Obispo, CA 93409 | 2016-03-03 |
| 1801215967 | Lindsay Renae Hathaway | Dentist | California Men's Colony, Colony Dr, San Luis Obispo, CA 93409 | 2014-04-15 |
| 1760805410 | Barbara Lee Ingersoll | Psychologist | Highway 1, San Luis Obispo, CA 93409 | 2014-01-31 |
| 1396050852 | Kimberly Kaufman | Psychologist | Highway 1, California Mens Colony, San Luis Obispo, CA 93409 | 2010-08-09 |
| 1114163045 | Barbara Jean Williams | Psychiatry & Neurology | Hwy 1, Ca Mens Colony Psychiatry Dept, San Luis Obispo, CA 93409 | 2008-12-24 |
| 1124511647 | William E. Watson | Social Worker | Colony Drive, San Luis Obispo, CA 93409-0001 | 2018-06-09 |
| 1508211764 | Christine Fisher | Student in an Organized Health Care Education/Training Program | Colony Dr, San Luis Obispo, CA 93409-0001 | 2016-04-25 |
| Find all providers in zip 93409 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291007 | Kerianne Elizabeth Ditomasso | Psychologist | 1551 Bishop St Ste A-130, San Luis Obispo, CA 93401-4635 | 2020-07-01 |
| 1366949943 | Lisa Slover | Psychologist | 1530 Monterey St Ste A, San Luis Obispo, CA 93401-2969 | 2018-04-10 |
| 1376991315 | Karin Kerstin Gutierrez | Psychologist | 1107 Johnson Avenue, San Luis Obispo, CA 93401 | 2016-06-01 |
| 1225411614 | Stephen Theodore Bobey Jr. | Psychologist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-07-02 |
| 1194135772 | Sarah Chisholm | Psychologist | California Mens Colony Highway 1 N, Dq Mental Health Building, San Luis Obispo, CA 93409-8101 | 2014-05-05 |
| 1699198689 | Cynthia Mccabe | Psychologist | California Mens Colony Mental Health, Hwy 1 North, Box 8101, San Luis Obispo, CA 93409-8101 | 2014-01-27 |
| 1164854139 | James Brian Fishback | Psychologist | 4421 Brookpine Dr, San Luis Obispo, CA 93401-7802 | 2013-08-01 |
| 1184967226 | Deserie R Barragan | Psychologist | D Facility Highway 1, Department of Corrections and Rehabilitation, San Luis Obispo, CA 93403 | 2013-03-27 |
| 1811234297 | Barbara Y Mair | Psychologist | Hwy 1 N, San Luis Obispo, CA 93409-0001 | 2013-01-06 |
| 1538411798 | Jayanta Hegde | Psychologist | 1530 Monterey St, Ste A, San Luis Obispo, CA 93401-2969 | 2012-10-11 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93409 |
Please comment or provide details below to improve the information on DR. ROBERT RYAN.
| 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.