JOHN A RYAN PHD PC
NPI 1144456633
Psychologist - Clinical in Saint Clair Shores, MI

Q: What is John A Ryan Phd PC's NPI number?

The NPI number for John A Ryan Phd PC is 1144456633. It was assigned to this organization in the NPPES registry on June 10, 2009.

Q: What is John A Ryan Phd PC's specialty?

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

Active since June 10, 2009

22811 MACK AVE, SUITE L3, SAINT CLAIR SHORES, MI 48080(586) 777-3988(586) 777-9879 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John A Ryan Phd Pc NPPES

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

JOHN A RYAN PHD PC (NPI 1144456633) is a healthcare organization registered as a clinical in Saint Clair Shores, Michigan and active in the NPI registry since June 2009. The organization lists John A Ryan, Owner, as its authorized official.

NPPES Registry Identity

NPI1144456633

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJOHN A RYAN PHD PC

Location Address22811 MACK AVE, SUITE L3Saint Clair Shores, MI 48080-2021

Mailing Address22811 Mack Ave, Suite L3Saint Clair Shores, MI 48080-2021 · (586) 777-3988 · Fax (586) 777-9879

Phone(586) 777-3988

Fax(586) 777-9879

Organization SubpartNo

Authorized OfficialJohn A RyanOwner · (586) 777-3988

Enumeration DateJune 10, 2009

✔ NPI 1144456633 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 MI · 6301002572

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.

22811 MACK AVE, Saint Clair Shores, MI 48080

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Other Identifiers 1

Medicare PIN0G44582MI

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

Other Providers at the Same Location NPPES 4

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

D GARY WOLFORD DDS PC

Oral & Maxillofacial Surgery

22811 MACK AVE, SUITE L-1
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 777-1331

MS. LINDA MARY LAWRENCE PSY.S.

Psychologist

22811 MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 777-0470

DR. VALERIE ILENE KVALE LONG PH.D.

Psychologist (Clinical)

22811 MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 777-0470

DONALD GARY WOLFORD DDS

Oral & Maxillofacial Surgery

22811 MACK AVE, L1
ST CLAIR SHORES, MI 48080

Macomb County (586) 777-1331

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 John A Ryan Phd PC's NPI number?

The NPI number for John A Ryan Phd PC is 1144456633. It was assigned to this organization in the NPPES registry on June 10, 2009.

Where is John A Ryan Phd PC located?

John A Ryan Phd PC is located at 22811 Mack Ave Suite L3, Saint Clair Shores, MI 48080. The listed phone number is (586) 777-3988.

What is John A Ryan Phd PC's specialty?

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

When was this NPI record last updated?

The NPPES record for John A Ryan Phd PC was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.