CMS-1500 Box 24J / 33a • NPI
1104438175
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103TS0200X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, School
Box 32 Service Location & ZIP+4
22 ROLLER COASTER RD, STRAFFORD, NH, 03884-6648
✓ 9-Digit EDI 837 ZIP+4 (03884-6648)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104438175 (JOAN M RYAN, Psychologist- School) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104438175 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JOAN M RYAN, Psychologist- School |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, School NUCC Code: 103TS0200X (Psychologist, School) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 22 ROLLER COASTER RD, STRAFFORD, NH, 03884-6648 |
| Practice Telephone / Fax | Tel: (603) 664-2842 |
| Administrative Mailing Address | PO BOX 1274, BERWICK, ME, 03901-1274 |
| Enumeration & Last Sync | Enumerated: 2020-08-20 | CMS Record Updated: 2020-08-20 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103TS0200X)
What Does Taxonomy Code 103TS0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TS0200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, School"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JOAN M RYAN, Psychologist- School)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103TS0200X — Psychologist, SchoolPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, School | State: NH | License: 49857 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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