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

Ryan Berry, MD

Individual provider Psychiatry Physician · NPI 1063049500

Ryan Berry, MD is a Psychiatry in Port Jefferson, New York. Qualified in 2020, 6 years ago. Practices with Mental Health Cooperative, Inc, a 48-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York and Tennessee.

Years since qualifying
6
Licensed in
NY, TN
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2190
Phone: (631) 686-2518
Show map & directions

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

Additional practice locations (1)

  • 275 Cumberland Bnd, Nashville, TN 37228-1805 — (615) 726-3340

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 69864 (TN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 326917 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063049500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address75 N Country Rd, Port Jefferson, NY 11777-2190

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mental Health Cooperative, Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Port Jefferson