DOUGLAS RYDER IMFT - NPI 1891334579 - Marriage & Family Therapist in North Olmsted, OH

Q: What is Douglas Ryder's NPI number?

The NPI number for Douglas Ryder is 1891334579. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Q: What is Douglas Ryder's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Ryder was last updated on January 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Douglas Ryder Imft NPPES

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

DOUGLAS RYDER IMFT (NPI 1891334579) is an individual marriage & family therapist in North Olmsted, Ohio, licensed in Ohio (F.2300310) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891334579

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameDOUGLAS RYDERCredential: IMFT

Location Address25111 COUNTRY CLUB BLVD STE 290North Olmsted, OH 44070-5330

Mailing Address25111 Country Club Blvd Ste 290North Olmsted, OH 44070-5330 · (216) 468-5000

Phone(216) 468-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 30, 2019

Last NPPES UpdateJanuary 30, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2025

✔ NPI 1891334579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in OH · F.2300310✔ Licensed in OH · M.2000154✔ Licensed in OH · M1900155-TRNE

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

25111 COUNTRY CLUB BLVD STE 290, North Olmsted, OH 44070

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Secondary Practice Locations 3

Location 122001 Fairmount BlvdCleveland, OH 44118-4897 · Phone (216) 932-2800

Location 2401 Tuscarawas St WCanton, OH 44702-2042 · Phone (440) 260-8300

Location 3215 Miller Rd Ste 7Avon Lake, OH 44012-1013 · Phone (440) 742-1661

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.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

Douglas Ryder Imft 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 ID9739619453

PECOS Enrollment IDI20250211002396

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.

Other Providers at the Same Location NPPES 14

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

KAILEY VILYUS

Counselor (Professional)