Ryan Garrett Roback, M.A.
NPI 1215487095ActiveIndividual· Marriage & Family Therapist· Palmdale, CA
Marriage & Family Therapist (M.A.) with Soultenders Inc, practicing in Palmdale, California. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1215487095 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A. |
| Sole proprietor | No |
| NPI issued | Oct 5, 2016 |
| Last updated in NPPES | May 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 113205 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (CA) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Soultenders IncRancho Cucamonga, CA · 123 clinicians
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