MEDICARE: NICOLE ERIKA KHAULI RYAN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	027574	NY
2	103TC0700X	Clinical Psychologist	PSY900341	GA

General Provider Information

NPI Number	:	1396410825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ERIKA KHAULI RYAN PHD

Provider Business Mailing Address
First Line	:	1365 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-727-4018
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2021
Last Update Date	:	04/20/2026

Similar Medicare Providers

1568311363 — JOSHUA BENJAMIN SCHWARTZ MD
Practice Location Address:

1365 CLIFTON RD NE # AT403
ATLANTA, GA
30322-1013

Practice Phone: 404-778-0281
Practice Fax: 404-251-0604

1992454391 — HASIYA E OKOROZO MD
Practice Location Address:

1365 CLIFTON RD NE
ATLANTA, GA
30322-1013

Practice Phone: 404-778-1900
Practice Fax:

1467394015 — DR. REZA LAHIJI MD
Practice Location Address:

1365 CLIFTON RD NE
ATLANTA, GA
30322-1013

Practice Phone: 404-778-4898
Practice Fax:

1801452750 — MICHELLE MAXWELL
Practice Location Address:

1365 CLIFTON RD NE BLDG A
ATLANTA, GA
30322-1013

Practice Phone: 404-778-4108
Practice Fax:

1124022637 — RICHARD DUSZAK JR. M.D.
Practice Location Address:

1365 CLIFTON RD NE , EMORY UNIVERSITY DEPARTMENT OF RADIOLOGY
ATLANTA, GA
30322-1013

Practice Phone: 202-688-5300
Practice Fax:

1477545499 — DR. MICAH R FISHER MD
Practice Location Address:

1365A CLIFTON RD NE , 4TH FLOOR
ATLANTA, GA
30322-1013

Practice Phone: 404-778-5734
Practice Fax: 404-778-4431

Directions to “ NICOLE ERIKA KHAULI RYAN PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.