DR. RYAN CRAIG EBERSOLE PH.D.
NPI 1255950614
Psychologist - Clinical in Albany, NY

Q: What is Ryan Ebersole's NPI number?

The NPI number for Ryan Ebersole is 1255950614. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Ryan Ebersole's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Ebersole was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 15, 2020PECOS Enrolled

2 CLARA BARTON DR # MC-164, ALBANY, NY 12208(518) 262-5511(518) 262-6111 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2020, Apr 15, 2020 (2 updates tracked since 2020).

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About Dr. Ryan Craig Ebersole Ph.d. NPPES

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

DR. RYAN CRAIG EBERSOLE PH.D. (NPI 1255950614) is an individual clinical provider in Albany, New York, licensed in New York (023865) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255950614

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. RYAN CRAIG EBERSOLECredential: PH.D.

Location Address2 CLARA BARTON DR # MC-164Albany, NY 12208-3472

Mailing Address2 Clara Barton Dr # Mc-164Albany, NY 12208-3472 · (518) 262-5511 · Fax (518) 262-6111

Phone(518) 262-5511

Fax(518) 262-6111

Sole ProprietorNo

Enumeration DateApril 15, 2020

Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2020

✔ NPI 1255950614 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 NY · 023865

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.

2 CLARA BARTON DR # MC-164, Albany, NY 12208

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Craig Ebersole Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ryan Ebersole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Athenapsych LLC

127 mi

Psychiatry

2825 3RD AVE STE 402
Bronx, NY 10455

Reassigned Medicare billing, New York enrollment
22 clinicians in this Medicare group

NPI 1679244768 (718) 520-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. JENNIFER LENT-YOSHIDA

Psychologist (Clinical Child & Adolescent)

2 CLARA BARTON DR # MC-164
ALBANY, NY 12208

Albany County (518) 262-5511

CONNOR LOGAN SMITH

Student in an Organized Health Care Education/Training Program

2 CLARA BARTON DR # MC-164
ALBANY, NY 12208

Albany County (518) 262-5511

DR. KAYLYN L WATTERSON PHD

Psychologist (Counseling)

2 CLARA BARTON DR # MC-164
ALBANY, NY 12208

Albany County (518) 262-5511

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 Ebersole's NPI number?

The NPI number for Ryan Ebersole is 1255950614. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Ryan Ebersole located?

Ryan Ebersole practices at 2 Clara Barton Dr # Mc-164, Albany, NY 12208. The listed phone number is (518) 262-5511.

What is Ryan Ebersole's specialty?

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

Is Ryan Ebersole enrolled in Medicare?

Yes. Ryan Ebersole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Ebersole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Ebersole reassigns Medicare benefits to Athenapsych LLC (Bronx, NY). The 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 Ebersole'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 Ebersole was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.