DR. MARY MARLENE RYAN PH.D.
NPI 1942340757
Psychologist in Syracuse, NY

Active since February 08, 2007PECOS Enrolled
530 OAK ST, SYRACUSE, NY 13203(315) 478-5890 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Marlene Ryan Ph.d. NPPES

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

DR. MARY MARLENE RYAN PH.D. (NPI 1942340757) is an individual psychologist in Syracuse, New York, licensed in New York (08755-1) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1942340757
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY MARLENE RYANCredential: PH.D.
Location Address530 OAK STSyracuse, NY 13203-1652
Mailing Address530 Oak StSyracuse, NY 13203-1652 · (315) 478-5890
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateFebruary 8, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1942340757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 08755-1
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 08755-1 (NY)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 08755-1 (NY)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 08755-1 (NY)

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. Mary Marlene Ryan Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385780345
PECOS Enrollment IDI20091005000410
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.

Counselor (Mental Health)
530 OAK ST
SYRACUSE, NY 13203
Social Worker (Clinical)
530 OAK ST
SYRACUSE, NY 13203
Social Worker (Clinical)
530 OAK ST
SYRACUSE, NY 13203
Psychologist (Clinical)
530 OAK ST
SYRACUSE, NY 13203
Counselor (Mental Health)
530 OAK ST, 5
SYRACUSE, NY 13203
Psychologist
530 OAK ST
SYRACUSE, NY 13203
Counselor (Mental Health)
530 OAK ST
SYRACUSE, NY 13203
Marriage & Family Therapist
530 OAK ST
SYRACUSE, NY 13203

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 Mary Ryan's NPI number?

The NPI number for Mary Ryan is 1942340757. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Mary Ryan located?

Mary Ryan practices at 530 Oak St, Syracuse, NY 13203. The listed phone number is (315) 478-5890.

What is Mary Ryan's specialty?

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

Is Mary Ryan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Ryan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.