RYAN MACKS, LLC (NPI# 1548501059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548501059 |
| Entity Type | Organization |
| Organization Name | RYAN MACKS, LLC |
| Practice Address |
7577 Central Parke Blvd Suite 113 Mason OH 45040-6810 |
| Practice Telephone | 5132045746 |
| Practice Fax Number | 5132293707 |
| Mailing Telephone | 5132045746 |
| Mailing Fax Number | 5132293707 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | RYAN MACKS (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5132045746 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6162 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE | MACP79161 | 01 |
| OH | 2592725 | 05 | |
| OH | 0080731 | 05 |
| Street Address |
7577 CENTRAL PARKE BLVD SUITE 113 |
| City | MASON |
| State | OH |
| Zip Code | 45040-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669445961 | Rick Allen Butts | Counselor | 7577 Central Parke Blvd, Suite 226, Mason, OH 45040 | 2006-02-08 |
| 1164835179 | Holly Barnard, Ph.d., LLC | Psychologist | 7577 Central Parke Blvd, Suite 109, Mason, OH 45040-6810 | 2014-06-06 |
| 1225470917 | Infectious Diseases Associates of Southwest Ohio, LLC | Internal Medicine | 7577 Central Parke Blvd, Ste 117, Mason, OH 45040-6810 | 2013-07-23 |
| 1487098356 | Cura Care Corp. | Home Health | 7577 Central Parke Blvd, Ste 204, Mason, OH 45040-6810 | 2013-04-23 |
| 1396085064 | Marilyn Faye Brandon | Social Worker | 7577 Central Parke Blvd, Mason, OH 45040-6810 | 2013-02-18 |
| 1023362431 | Counseling Resource Center of Mason, LLC | Community/Behavioral Health | 7577 Central Parke Blvd, Suite 225, Mason, OH 45040-6810 | 2012-11-07 |
| 1225387244 | Sarah B Molloy | Counselor | 7577 Central Parke Blvd, Suite 326, Mason, OH 45040-6810 | 2012-09-05 |
| 1730458928 | Teresa Kay Stillwell | Counselor | 7577 Central Parke Blvd, Suite 302, Mason, OH 45040-6810 | 2011-12-19 |
| 1518262625 | Amy Lynn Schneider | Social Worker | 7577 Central Parke Blvd, Mason, OH 45040-6810 | 2011-01-20 |
| 1073836441 | Pamela Patricia Gerdes | Social Worker | 7577 Central Parke Blvd, Mason, OH 45040-6810 | 2010-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295911634 | Dr. Jane Schueler Allemang, Ph. D | Psychologist | 7577 Central Parke Blvd. Ste 112, Jane Allemang, Phd., Mason, OH 45040-6809 | 2008-01-16 |
| 1336355890 | Psychcare Inc | Psychologist | 8118 Corporate Way Ste 121, Mason, OH 45040 | 2007-05-14 |
| 1194876268 | Holly Nicole Harris | Psychologist | 6404 Thornberry Ct, Suite 430, Mason, OH 45040-3502 | 2007-01-16 |
| 1669523585 | Bernadette Rosina Johns | Psychologist | 991 Reading Rd Ste 1, Mason, OH 45040-0057 | 2007-01-16 |
| 1912057316 | Jan Scott Yount | Psychologist | 5750 Gateway Ste 103, Tylersville Crossing, Mason, OH 45040-1895 | 2007-01-10 |
| 1073611166 | Albert Corbin Psychological Services, LLC | Psychologist | 8587 S. Mason Montgomery Rd., Suite 9, Mason, OH 45040-9317 | 2006-09-20 |
| 1336192517 | Pamela K. Corbin | Psychologist | 8587 S Mason Montgomery Rd, Suite 9, Mason, OH 45040-9233 | 2006-05-18 |
| 1447816905 | Allison Mecca | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2019-05-10 |
| 1215476767 | Jennifer B Wilcox | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-02-16 |
| 1962869164 | Nicole Bosse | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2016-01-20 |
| Find all providers in MASON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.