BLUE RIDGE NEUROPSYCHOLOGY PC
NPI 1104287168
Psychologist - Clinical in Staunton, VA

Q: What is Blue Ridge Neuropsychology PC's NPI number?

The NPI number for Blue Ridge Neuropsychology PC is 1104287168. It was assigned to this organization in the NPPES registry on March 17, 2016.

Q: What is Blue Ridge Neuropsychology PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since March 17, 2016

40 LAMBERT ST, STE 222, STAUNTON, VA 24401(540) 886-3956(540) 886-3975 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2016, Mar 17, 2016 (2 updates tracked since 2016).

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About Blue Ridge Neuropsychology Pc NPPES

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

BLUE RIDGE NEUROPSYCHOLOGY PC (NPI 1104287168) is a healthcare organization registered as a clinical in Staunton, Virginia and active in the NPI registry since March 2016. The organization lists Thomas V Ryan, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1104287168

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBLUE RIDGE NEUROPSYCHOLOGY PC

Location Address40 LAMBERT ST, STE 222Staunton, VA 24401-2446

Mailing Address40 Lambert St, Ste 222Staunton, VA 24401-2446 · (540) 886-3956 · Fax (540) 886-3975

Phone(540) 886-3956

Fax(540) 886-3975

Organization SubpartNo

Authorized OfficialThomas V RyanClinical Psychologist · (540) 886-3956

Enumeration DateMarch 17, 2016

Last NPPES UpdateNovember 18, 20162 updates tracked since enumeration

✔ NPI 1104287168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810001474

Definition

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.

40 LAMBERT ST, Staunton, VA 24401

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Other Identifiers 1

Other1750554036VA · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Ridge Neuropsychology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Ridge Neuropsychology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Ryan, PHD ABPP CN

Clinical Psychologist

NPI 1750554036

40 LAMBERT ST SUITE 222
Staunton, VA 24401

(540) 886-3956

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blue Ridge Neuropsychology PC's NPI number?

The NPI number for Blue Ridge Neuropsychology PC is 1104287168. It was assigned to this organization in the NPPES registry on March 17, 2016.

Where is Blue Ridge Neuropsychology PC located?

Blue Ridge Neuropsychology PC is located at 40 Lambert St Ste 222, Staunton, VA 24401. The listed phone number is (540) 886-3956.

What is Blue Ridge Neuropsychology PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Blue Ridge Neuropsychology PC enrolled in Medicare?

Yes. Blue Ridge Neuropsychology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Ridge Neuropsychology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Blue Ridge Neuropsychology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blue Ridge Neuropsychology PC was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.