1. Home
  2. Directory
  3. California
  4. Palmdale
  5. Marriage Family Therapist
  6. NPI Profile

RYAN GARRETT ROBACK M.A.
NPI 1215487095
Marriage & Family Therapist in Palmdale, CA

Active since October 05, 2016PECOS EnrolledAccepts Medicare Assignment
1529 E PALMDALE BLVD STE 210, PALMDALE, CA 93550(661) 272-9996 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ryan Garrett Roback M.a. NPPES

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

RYAN GARRETT ROBACK M.A. (NPI 1215487095) is an individual marriage & family therapist in Palmdale, California, licensed in California (113205) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215487095
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameRYAN GARRETT ROBACKCredential: M.A.
Location Address1529 E PALMDALE BLVD STE 210Palmdale, CA 93550-2029
Mailing Address1529 E Palmdale Blvd Ste 210Palmdale, CA 93550-2029 · (661) 272-9996
Phone(661) 272-9996
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 5, 2016
Last NPPES UpdateMay 28, 2019
✔ NPI 1215487095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 113205
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1529 E PALMDALE BLVD STE 210, Palmdale, CA 93550
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Garrett Roback M.a. 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 ID6507201688
PECOS Enrollment IDI20240228002690
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ryan Roback reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soultenders Psychological Services, Inc.
30 mi
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1235810722 (626) 701-4249
Soultenders, Inc.
30 mi
Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group
NPI 1164617007 (626) 737-6034

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

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.

VERONICA JANET FLORES
Counselor (Mental Health)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (323) 369-6745
DEBRA J WEST ACSW
Counselor (Mental Health)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 272-9996
KATHERINE CASEY VOLTZ MA
Counselor (Mental Health)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 272-9996
MS. LATISHA SAMPSON MSW
Social Worker (Clinical)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 272-9996
CORRADO MILITI LMFT
Marriage & Family Therapist
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (818) 993-9311
MR. ALFRED ALOYSIUS WOHLFORT MFT
Marriage & Family Therapist
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 272-9999
MRS. KAREN JOHNSEN GILMORE L.C.S,W
Social Worker (Clinical)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 902-1962
JOYE GARCIA AMFT130225
Marriage & Family Therapist
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 729-8912

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 Roback's NPI number?

The NPI number for Ryan Roback is 1215487095. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Ryan Roback located?

Ryan Roback practices at 1529 E Palmdale Blvd Ste 210, Palmdale, CA 93550. The listed phone number is (661) 272-9996.

What is Ryan Roback's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Ryan Roback enrolled in Medicare?

Yes. Ryan Roback 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.

Which organizations bill Medicare for Ryan Roback's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Roback reassigns Medicare benefits to 2 organizations: Soultenders Psychological Services, Inc. (Arcadia, CA) and Soultenders, Inc. (Arcadia, CA). Each 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 Ryan Roback's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ryan Roback was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.