RYAN WILLIAM MAST TLLP
NPI 1710609896
Psychologist in Southfield, MI

Active since September 14, 2022
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076(248) 727-3456(248) 557-4697 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2023, Sep 15, 2022 (2 updates tracked since 2022).

About Ryan William Mast Tllp NPPES

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

RYAN WILLIAM MAST TLLP (NPI 1710609896) is an individual psychologist in Southfield, Michigan, licensed in Michigan (6362009759) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1710609896
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRYAN WILLIAM MASTCredential: TLLP
Location Address17320 W 12 MILE RD STE 101Southfield, MI 48076-2102
Mailing Address17320 W 12 Mile RdSouthfield, MI 48076-2100
Fax(248) 557-4697
Sole ProprietorYes
Enumeration DateSeptember 14, 2022
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1710609896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6362009759
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

17320 W 12 MILE RD STE 101, Southfield, MI 48076

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Social Worker (Clinical)
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Social Worker
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Social Worker (Clinical)
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Social Worker (Clinical)
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Student in an Organized Health Care Education/Training Program
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Student in an Organized Health Care Education/Training Program
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Counselor (Mental Health)
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Social Worker
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076

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 Mast's NPI number?

The NPI number for Ryan Mast is 1710609896. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Ryan Mast located?

Ryan Mast practices at 17320 W 12 Mile Rd Ste 101, Southfield, MI 48076. The listed phone number is (248) 727-3456.

What is Ryan Mast's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Ryan Mast was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.