Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Todd Ryser-Oatman, PHD

Individual provider Psychologist · NPI 1417438391

Jonathan Todd Ryser-Oatman, PHD is a Clinical Psychologist in Lexington, Kentucky. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

989 Governors Ln Ste 140
Lexington, KY 40513-1174
Phone: (859) 494-9984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 278568 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417438391
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 28, 2018
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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