DR. CAROLYN RYAN PHDLICMPHILMABCBAD
NPI 1336516020
Psychologist in Bayside, NY

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment
7822 CLOVERDALE BLVD, UNIT B, BAYSIDE, NY 11364(917) 335-2881 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carolyn Ryan Phdlicmphilmabcbad NPPES

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

DR. CAROLYN RYAN PHDLICMPHILMABCBAD (NPI 1336516020) is an individual psychologist in Bayside, New York, licensed in New York (018669-1) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1336516020
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CAROLYN RYANCredential: PHDLICMPHILMABCBAD
Location Address7822 CLOVERDALE BLVD, UNIT BBayside, NY 11364-3124
Mailing Address78-22 Cloverdale Blvd, Unit BBayside, NY 11364 · (917) 335-2881
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 28, 2015
✔ NPI 1336516020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 018669-1
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 000048-1 (NY)
7822 CLOVERDALE BLVD, Bayside, NY 11364

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

Dr. Carolyn Ryan Phdlicmphilmabcbad 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 ID7719263268
PECOS Enrollment IDI20170417001647
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 Carolyn Ryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
300 CADMAN PLZ W
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 457 clinicians in this Medicare group
Clinical
2433 KNAPP ST STE 306
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group

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 Carolyn Ryan's NPI number?

The NPI number for Carolyn Ryan is 1336516020. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Carolyn Ryan located?

Carolyn Ryan practices at 7822 Cloverdale Blvd Unit B, Bayside, NY 11364. The listed phone number is (917) 335-2881.

What is Carolyn Ryan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carolyn Ryan enrolled in Medicare?

Yes. Carolyn Ryan 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 Carolyn Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Ryan reassigns Medicare benefits to 2 organizations: Che Senior Psychological Services, PC (Brooklyn, NY) and Knapp Street Psychiatry, PC (Brooklyn, NY). 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 Carolyn Ryan'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 Carolyn Ryan was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.