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Ryan Blackstock, PSY.D., LP
NPI 1104014273 · Psychologist · Brownstown Twp, MI
Ryan Blackstock, PSY.D., LP is a Psychologist provider in Brownstown Twp, MI (NPI 1104014273).
Provider details
- NPI number
- 1104014273
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D., LP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6301013412 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19366 Allen Rd
Suite C
Brownstown Twp, MI 48183-6809
Phone: (734) 479-0949
Fax: (734) 479-1637
Street-level locationGet directions
Mailing address
9237 Becker Ave
Allen Park, MI 48101-1563
Registry dates
- Enumerated
- 2007-10-13
- Last updated
- 2010-08-27
Frequently asked questions
- What is Ryan Blackstock's NPI number?
- Ryan Blackstock's National Provider Identifier (NPI) is 1104014273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Blackstock's specialty?
- Ryan Blackstock is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Ryan Blackstock located?
- Ryan Blackstock's practice location on file with NPPES is 19366 Allen Rd, Brownstown Twp, MI 48183-6809.
- What is Ryan Blackstock's phone number?
- The practice phone number listed in the NPPES registry for Ryan Blackstock is (734) 479-0949.
- Is Ryan Blackstock's NPI active?
- Yes — Ryan Blackstock's NPI (1104014273) is active in the NPPES registry as of the last update on 2010-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.