1. Home
  2. Directory
  3. Tennessee
  4. Knoxville
  5. Clinical Neuropsychologist
  6. NPI Profile

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

Active since October 29, 2013PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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

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 and is a graduate of Other (2013).

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
Medical School CMSOtherGraduated 2013
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
Open in Google Maps ↗

Accepted Insurance

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

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. Ryan Boddy Phd 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 ID4587970785
PECOS Enrollment IDI20150902002859
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 Boddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Knoxville Behavioral & Mental Health Services
Same address
Developmental - Behavioral Pediatrics
9129 CROSS PARK DR STE 100
Knoxville, TN 37923
  • Reassigned Medicare billing, Tennessee enrollment
  • 4 clinicians in this Medicare group
NPI 1710444310 (865) 983-1899

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

Other Providers at the Same Location NPPES 16

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

VIRGINIA MCCLURG PH.D.
Psychologist (School)
9129 CROSS PARK DR STE 100
KNOXVILLE, TN 37923
Knox County (865) 983-1899
KHRISTAN DEICHERT CIMINO LCSW
Social Worker (Clinical)
9129 CROSS PARK DR STE 100
KNOXVILLE, TN 37923
Knox County (865) 983-1899
DR. HANNAH ERIN GRAVES WELLS PMHNP, DNP
Nurse Practitioner (Psychiatric/Mental Health)
9129 CROSS PARK DR STE 100
KNOXVILLE, TN 37923
Knox County (865) 983-1899
KAYLA W ATKINS CPNP-PC
Nurse Practitioner (Pediatrics)
9129 CROSS PARK DR STE 100
KNOXVILLE, TN 37923
Knox County (865) 983-1899
SUKESH JOSEPH JADAV PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9129 CROSS PARK DR STE 100
KNOXVILLE, TN 37923
Knox County (865) 983-1899
CHRISTINA MARIE KAMIEN PSY.D.
Psychologist (Clinical Child & Adolescent)
9129 CROSS PARK DR STE 100
KNOXVILLE, TN 37923
Knox County (865) 983-1899
ROBIN ELIZABETH RHODEA LCSW
Social Worker (Clinical)
9129 CROSS PARK DR STE 100
KNOXVILLE, TN 37923
Knox County (865) 983-1899
DR. CHRISTINA BEATON PSYD
Psychologist
9129 CROSS PARK DR STE 100
KNOXVILLE, TN 37923
Knox County (276) 734-1071

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 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.

Where is Ryan Boddy located?

Ryan Boddy practices at 9129 Cross Park Dr Ste 100, Knoxville, TN 37923. The listed phone number is (865) 983-1899.

What is Ryan Boddy's specialty?

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

Is Ryan Boddy enrolled in Medicare?

Yes. Ryan Boddy 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 organization bills Medicare for Ryan Boddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Boddy reassigns Medicare benefits to Knoxville Behavioral & Mental Health Services (Knoxville, TN). 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 Boddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Boddy accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Ryan Boddy 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 Boddy was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.