RYAN P DONBERG PSYD
NPI 1710559802
Psychologist - Clinical in Wethersfield, CT

Active since July 16, 2021PECOS Enrolled
121 MAIN ST, WETHERSFIELD, CT 06109(860) 222-0107 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, May 24, 2026, Aug 5, 2025 and 1 more (4 updates tracked since 2021).

About Ryan P Donberg Psyd NPPES

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

RYAN P DONBERG PSYD (NPI 1710559802) is an individual clinical provider in Wethersfield, Connecticut, licensed in Connecticut (005166) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1710559802
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameRYAN P DONBERGCredential: PSYD
Location Address121 MAIN STWethersfield, CT 06109-3125
Mailing Address121 Main StWethersfield, CT 06109-3125 · (860) 222-0107
Sole ProprietorNo
Enumeration DateJuly 16, 2021
Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1710559802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CT · 005166
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
121 MAIN ST, Wethersfield, CT 06109

Secondary Practice Location 1

Location 1200 Retreat AveHartford, CT 06106-3309 · Phone (860) 545-7061

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan P Donberg Psyd 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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Donberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,333 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
121 MAIN ST
WETHERSFIELD, CT 06109
Social Worker (Clinical)
121 MAIN ST
WETHERSFIELD, CT 06109

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 Donberg's NPI number?

The NPI number for Ryan Donberg is 1710559802. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Ryan Donberg located?

Ryan Donberg practices at 121 Main St, Wethersfield, CT 06109. The listed phone number is (860) 222-0107.

What is Ryan Donberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ryan Donberg enrolled in Medicare?

Yes. Ryan Donberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Donberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Donberg reassigns Medicare benefits to Hartford Hospital (Hartford, CT). 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 Donberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Donberg accept?

Health plans from Anthem Blue Cross and Blue Shield list Ryan Donberg 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 Donberg was last updated on July 9, 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.