Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Ryan Rysavy, PSYD, LP

Individual provider Psychologist · NPI 1073052163

Mr. Timothy Ryan Rysavy, PSYD, LP is a Clinical Psychologist in St Cloud, Minnesota. Qualified in 2015, 11 years ago. Practices with St Cloud Neurobehavioral Associates PA, a 2-clinician group. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2017
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

251 County Road 120
St Cloud, MN 56303-4872
Phone: (320) 258-3833
Fax: (320) 253-5741
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6105 (MN)

Record details

NPI number1073052163
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 22, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Cloud Neurobehavioral Associates Pa — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in St Cloud