Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. RYAN BODDY PHD
NPI 1669800769
Clinical Neuropsychologist in Knoxville, TN

Q: What is Ryan Boddy's NPI number?

The NPI number for Ryan Boddy is 1669800769. It was assigned to this individual provider in the NPPES registry on October 29, 2013.

Q: What is Ryan Boddy's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Boddy was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 29, 2013PECOS Enrolled

9129 CROSS PARK DR STE 100, KNOXVILLE, TN 37923(865) 983-1899(865) 409-5948 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Jul 31, 2020 (2 updates tracked since 2020).

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About Dr. Ryan Boddy Phd NPPES

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

DR. RYAN BODDY PHD (NPI 1669800769) is an individual clinical neuropsychologist in Knoxville, Tennessee, licensed in Tennessee (3221) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669800769

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. RYAN BODDYCredential: PHD

Location Address9129 CROSS PARK DR STE 100Knoxville, TN 37923-4505

Mailing Address9129 Cross Park Dr Ste 100Knoxville, TN 37923-4505 · (865) 983-1899 · Fax (865) 409-5948

Phone(865) 983-1899

Fax(865) 409-5948

Sole ProprietorNo

Enumeration DateOctober 29, 2013

Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1669800769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in TN · 3221

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 3221 (TN)

9129 CROSS PARK DR STE 100, Knoxville, TN 37923

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Boddy Phd 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.

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Other Providers at the Same Location NPPES 15

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

VIRGINIA MCCLURG PH.D.

Psychologist (School)