MARK ANTHONY RYAN LPA
NPI 1417746413
Psychologist - Intellectual and Developmental Disabilities in Fort Worth, TX

Q: What is Mark Ryan's NPI number?

The NPI number for Mark Ryan is 1417746413. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Q: What is Mark Ryan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Q: When was this NPI record last updated?

The NPPES record for Mark Ryan was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 May 05, 2025

3504 PRIMROSE AVE, FORT WORTH, TX 76111(817) 726-7504 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark Anthony Ryan Lpa NPPES

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

MARK ANTHONY RYAN LPA (NPI 1417746413) is an individual intellectual and developmental disabilities provider in Fort Worth, Texas, licensed in Texas (34184) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1417746413

Entity TypeIndividualMale

Primary Taxonomy103TM1800X

Provider Legal NameMARK ANTHONY RYANCredential: LPA

Location Address3504 PRIMROSE AVEFort Worth, TX 76111-4945

Mailing Address3504 Primrose AveFort Worth, TX 76111-4945 · (817) 726-7504

Phone(817) 726-7504

Sole ProprietorYes

Enumeration DateMay 5, 2025

NPPES CertifiedMay 5, 2025

✔ NPI 1417746413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers

Taxonomy Code103TM1800X

License✔ Licensed in TX · 34184

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 34184 (TX)

3504 PRIMROSE AVE, Fort Worth, TX 76111

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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 Mark Ryan's NPI number?

The NPI number for Mark Ryan is 1417746413. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Mark Ryan located?

Mark Ryan practices at 3504 Primrose Ave, Fort Worth, TX 76111. The listed phone number is (817) 726-7504.

What is Mark Ryan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Mark Ryan was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.