MARY LOU RYAN RNCS NPI 1578584843

NPI Information

  • NPI: 1578584843
  • Provider Name: MARY LOU RYAN, RNCS
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 40 HOLLAND ST
    SOMERVILLE, MA
    ZIP 02144
  • Phone: (617) 629-6180

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NPI Details

Mary Lou Ryan, RNCS is a psychiatric/mental health registered nurse in Somerville, MA. Mary Lou Ryan, RNCS NPI is 1578584843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 HOLLAND ST
SOMERVILLE, MA
ZIP 02144-705
Phone: (617) 629-6180

The NPI 1578584843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 10/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health150000MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10036952OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
2669498OTHERMASSACHUSETTSTUFTS HEALTH PLAN
3PN0575OTHERMASSACHUSETTSBLUE CROSS
4NS0125MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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