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RYAN DOUGHERTY MS CCC SLP
NPI 1619678208
Speech-Language Pathologist in Phoenix, AZ

Active since March 13, 2023Accepts Medicare Assignment
4114 N 28TH ST APT 3014, PHOENIX, AZ 85016(541) 969-5213 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ryan Dougherty Ms Ccc Slp NPPES

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

RYAN DOUGHERTY MS CCC SLP (NPI 1619678208) is an individual speech-language pathologist provider in Phoenix, Arizona, licensed in Arizona (SLP12631) and active in the NPI registry since March 2023. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1619678208
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameRYAN DOUGHERTYCredential: MS CCC SLP
Location Address4114 N 28TH ST APT 3014Phoenix, AZ 85016-5779
Mailing Address4114 N 28th St Apt 3014Phoenix, AZ 85016-5779
Phone(541) 969-5213
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 11, 2023
✔ NPI 1619678208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AZ · SLP12631
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4114 N 28TH ST APT 3014, Phoenix, AZ 85016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Dougherty Ms Ccc Slp 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 ID5496297699
PECOS Enrollment IDI20240603003820, I20250115003423

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 Dougherty's NPI number?

The NPI number for Ryan Dougherty is 1619678208. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Ryan Dougherty located?

Ryan Dougherty practices at 4114 N 28th St Apt 3014, Phoenix, AZ 85016. The listed phone number is (541) 969-5213.

What is Ryan Dougherty's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Ryan Dougherty enrolled in Medicare?

Yes. Ryan Dougherty 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.

What insurance does Ryan Dougherty accept?

Health plans from Blue Cross Blue Shield of Arizona, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Ryan Dougherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Dougherty was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.