RYAN MACDONOUGH
NPI 1639546005
Social Worker - Clinical in East Hartford, CT
NPI Status: Active since September 01, 2015
Contact Information
281 MAIN ST
EAST HARTFORD, CT
ZIP 06118
Phone: (860) 291-1309
Fax: (860) 291-1396
- Individual
- Male
- Social Worker
- Clinical
- PECOS Enrolled
About RYAN MACDONOUGH
This page provides the complete NPI Profile along with additional information for Ryan Macdonough, a provider established in East Hartford, Connecticut with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1639546005 assigned on September 2015. The practitioner's primary taxonomy code is 1041C0700X with license number 9212 (CT). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1639546005
- Provider Name
- RYAN MACDONOUGH
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 281 MAIN ST EAST HARTFORD, CT 06118
- Location Phone
- (860) 291-1309
- Location Fax
- (860) 291-1396
- Mailing Address
- 281 MAIN ST EAST HARTFORD, CT 06118
- Mailing Phone
- (860) 291-1309
- Mailing Fax
- (860) 291-1396
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-01-2015
- Last Update Date
- 09-01-2015
- Code Navigator
A clinical social worker like Ryan Macdonough is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
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
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 9212
- License State
- CT
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004050993 | MEDICAID (05) | CT |
Medicare Participation & PECOS Enrollment Status
Ryan Macdonough is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 30 times for 26 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06118 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $0
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.55
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $18.88
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 6 | 3 | 9 | 5 | 4 | 6 | 0 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 4 | 12 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 4 + 1 + 2 + 0 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1639546005 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366485534 | MARGO ANN BOJKO LCSW Individual | Social Worker | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1053346510 | KIMBERLY L BEAUREGARD LCSW Individual | Social Worker | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1942225552 | MARISA GIARNELLA-PORCO LCSW Individual | Social Worker | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1962410811 | TYLER BOOTH LCSW Individual | Social Worker | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1477735470 | MRS. GILLIAN CLARK WORKMAN-STEIN LCSW Individual | Social Worker (Clinical) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1790010866 | MELISSA ELEK LCSW Individual | Social Worker (Clinical) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1104123785 | MR. WAYNE A KING JR. LMFT Individual | Marriage & Family Therapist | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1164700381 | JENNIFER VALVA LCSW Individual | Counselor (Addiction (Substance Use Disorder)) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1578501961 | KAREN HENAULT APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1588095657 | INTERCOMMUNITY, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1750561155 | LINDSAY ALISA POTTERTON LCSW Individual | Social Worker (Clinical) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1962896548 | INTERCOMMUNITY, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1811221872 | KATHRYN HELENE MCLARNEY LCSW Individual | Social Worker (Clinical) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 944-8197 |
| 1710417357 | REBECCA RICKERT LCSW Individual | Social Worker (Clinical) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1356387823 | USMAN C. RAMZAN MD Individual | Internal Medicine | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1851876767 | JESSICA LYN REES-MUNIZ LCSW Individual | Social Worker (Clinical) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 990-4848 |
| 1427066448 | CELIA ENID NOE LCSW Individual | Social Worker (Clinical) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1821558354 | MR. MICHAEL MARRERO LCSW Individual | Social Worker (Clinical) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1942592514 | CHAD MCDONALD D.O. Individual | Family Medicine | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
| 1891320404 | ANTHONY VETURIS Individual | Nurse Practitioner (Family) | 281 MAIN ST EAST HARTFORD, CT 06118 (860) 569-5900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639546005, enumerated in the NPI registry as an "individual" on September 01, 2015
The provider is located at 281 Main St East Hartford, Ct 06118 and the phone number is (860) 291-1309
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $75.55 and an average copayment of 18.88. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation.
This NPI record was last updated on September 01, 2015. 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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