DR. RYAN R LANDOLL PH.D.
NPI 1083966824
Psychologist - Clinical in Shaw Afb, SC
About Dr. Ryan R Landoll Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN R LANDOLL PH.D. (NPI 1083966824) is an individual clinical provider in Shaw Afb, South Carolina, licensed in Virginia (0810004814) and active in the NPI registry since October 2012. He has opted out of Medicare through October 21, 2027.
NPPES Registry Identity
Specialties & Licenses
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Ryan R Landoll Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 21, 2021 through October 21, 2027.
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.
SHAW A F B, SC 29152
SHAW A F B, SC 29152
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 Ryan Landoll's NPI number?
The NPI number for Ryan Landoll is 1083966824. It was assigned to this individual provider in the NPPES registry on October 3, 2012.
Where is Ryan Landoll located?
Ryan Landoll practices at 431 Meadowlark St, Shaw Afb, SC 29152. The listed phone number is (803) 895-6199.
What is Ryan Landoll's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Ryan Landoll enrolled in Medicare?
No. Ryan Landoll has opted out of Medicare through October 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ryan Landoll was last updated on March 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
