MARK ANTHONY RYAN LPA
NPI 1417746413
Psychologist - Intellectual and Developmental Disabilities in Fort Worth, TX
NPI Status: Active since May 05, 2025
Contact Information
3504 PRIMROSE AVE
FORT WORTH, TX
ZIP 76111
Phone: (817) 726-7504
- Individual
- Male
- Psychologist
- Intellectual and Developmental Disabilit...
About MARK RYAN
This page provides the complete NPI Profile along with additional information for Mark Ryan, a provider established in Fort Worth, Texas with a medical specialization in Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1417746413 assigned on May 2025. The practitioner's primary taxonomy code is 103TM1800X with license number 34184 (TX). The provider is registered as an individual and his NPI record was last updated May 2025.
- NPI
- 1417746413
- Provider Name
- MARK ANTHONY RYAN LPA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3504 PRIMROSE AVE FORT WORTH, TX 76111
- Location Phone
- (817) 726-7504
- Mailing Address
- 3504 PRIMROSE AVE FORT WORTH, TX 76111
- Mailing Phone
- (817) 726-7504
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-05-2025
- Last Update Date
- 05-05-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Intellectual and Developmental Disabilities
- Taxonomy Code
- 103TM1800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 34184
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | 34184 (TX) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 7 | 4 | 6 | 4 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 14 | 4 | 12 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 4 + 4 + 1 + 2 + 4 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1417746413 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417746413, enumerated in the NPI registry as an "individual" on May 05, 2025
The provider is located at 3504 Primrose Ave Fort Worth, Tx 76111 and the phone number is (817) 726-7504
The provider's speciality is Psychologist with taxonomy code 103TM1800X with a focus in Intellectual and Developmental Disabilities
This NPI record was last updated on May 05, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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