DR. BRENT G. RYDER PSY.D.
NPI 1083860746
Psychologist in Las Vegas, NV

Active since August 13, 2008PECOS EnrolledAccepts Medicare Assignment
500 N RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89107(702) 350-3194(702) 221-1901 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brent G. Ryder Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENT G. RYDER PSY.D. (NPI 1083860746) is an individual psychologist in Las Vegas, Nevada, licensed in Nevada (PY0656) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1083860746
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. BRENT G. RYDERCredential: PSY.D.
Location Address500 N RAINBOW BLVD, SUITE 300Las Vegas, NV 89107-1061
Mailing Address500 N Rainbow Blvd, Suite 300Las Vegas, NV 89107-1061 · (702) 350-3194 · Fax (702) 221-1901
Fax(702) 221-1901
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 13, 2008
Last NPPES UpdateMay 14, 2014
NPI 1083860746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NV · PY0656
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

500 N RAINBOW BLVD, Las Vegas, NV 89107

Other Identifiers 1

OtherPY0656NV · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brent G. Ryder Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799901633
PECOS Enrollment IDI20140729002033
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
500 N RAINBOW BLVD, SUITE 300
LAS VEGAS, NV 89107
Emergency Medicine (Emergency Medical Services)
500 N RAINBOW BLVD, SUITE 203
LAS VEGAS, NV 89107
Durable Medical Equipment & Medical Supplies
500 N RAINBOW BLVD, SUITE 300
LAS VEGAS, NV 89107
Home Health
500 N RAINBOW BLVD, SUITE 300
LAS VEGAS, NV 89107
Hospice Care, Community Based
500 N RAINBOW BLVD, SUITE 300, ROOM 370
LAS VEGAS, NV 89107
Community/Behavioral Health
500 N RAINBOW BLVD
LAS VEGAS, NV 89107
Emergency Medicine
500 N RAINBOW BLVD, SUITE 203
LAS VEGAS, NV 89107
Home Health
500 N RAINBOW BLVD, SUITE 300
LAS VEGAS, NV 89107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Ryder's NPI number?

The NPI number for Brent Ryder is 1083860746. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Brent Ryder located?

Brent Ryder practices at 500 N Rainbow Blvd Suite 300, Las Vegas, NV 89107. The listed phone number is (702) 350-3194.

What is Brent Ryder's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Brent Ryder enrolled in Medicare?

Yes. Brent Ryder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brent Ryder was last updated on May 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.