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

Individual provider Marriage & Family Therapist · NPI 1215487095

Ryan Garrett Roback, MA is a Marriage and Family Therapist in Palmdale, California. Qualified in 2016, 10 years ago. Practices with Soultenders Inc, a 106-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1529 E Palmdale Blvd Ste 210
Palmdale, CA 93550-2029
Phone: (661) 272-9996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 113205 (CA)

Record details

NPI number1215487095
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedOctober 5, 2016
Last updated in NPPESMay 28, 2019
Mailing address1529 E Palmdale Blvd Ste 210, Palmdale, CA 93550-2029

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Soultenders Inc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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