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

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

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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