STEVEN J. RYAN, M.D., P.C. (NPI# 1174033310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174033310 |
| Entity Type | Organization |
| Organization Name | STEVEN J. RYAN, M.D., P.C. |
| Practice Address |
12020 Shamrock Plz Ste 200 Omaha NE 68154-3537 |
| Mailing Address |
8124 S 92nd Ave La Vista NE 68128-3203 |
| Practice Telephone | 4025041736 |
| Practice Fax Number | 4023311557 |
| Mailing Telephone | 4026144861 |
| Mailing Fax Number | 4023331557 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | STEVEN J. RYAN (PRESIDENT) |
| Authorized Official Telephone | 4026144861 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
16685 | NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RY060501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13304 W Center Rd Ste 218, Omaha, NE 681443457 | 4026144861 | 4023311557 |
| Street Address |
12020 SHAMROCK PLZ STE 200 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255753224 | Kelsey Rae Harwood | Counselor | 12020 Shamrock Plz Ste 200, Omaha, NE 68154 | 2014-01-10 |
| 1356984272 | Anna Tenille Stoeger | Counselor | 12020 Shamrock Plz Ste 200, Omaha, NE 68154-3537 | 2019-10-23 |
| 1770052367 | Harwood Therapy LLC | Counselor | 12020 Shamrock Plz Ste 200, Omaha, NE 68154-3537 | 2018-11-13 |
| 1881075224 | Sarah E Thomas | Counselor | 12020 Shamrock Plz Ste 200, Omaha, NE 68154 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457592263 | Glassman Counseling, PC | Clinic/Center | 702 N 129th St, Suite 105, Omaha, NE 68154-6103 | 2009-03-09 |
| 1003436833 | Completely Kids | Clinic/Center | 2566 Saint Marys Ave, Omaha, NE 68105-1655 | 2020-04-22 |
| 1699306753 | Jr Counseling,llc | Clinic/Center | 11329 P St Ste 113, Omaha, NE 68137-2315 | 2020-01-28 |
| 1326505207 | Looking Forward Counseling Services, LLC | Clinic/Center | 268 N 115th St Ste 1, Omaha, NE 68154-2502 | 2019-02-27 |
| 1316446842 | Season of Change Counseling LLC | Clinic/Center | 268 N 115th St Ste 1, Omaha, NE 68154-2502 | 2018-02-10 |
| 1295012730 | Jane B. Dahlke, M.d., P.C. | Clinic/Center | 10815 Elm St, Omaha, NE 68144-4819 | 2011-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653159 | Gretna Family Counseling, LLC | Clinic/Center | 620 N Highway 6 Ste D, Gretna, NE 68028-8065 | 2020-03-10 |
| 1568092351 | Debra Combs Kelley | Clinic/Center | 1531 Norris Ave, Mc Cook, NE 69001-2126 | 2020-01-21 |
| 1235648668 | Julie Ross, Lcsw, Lmhp, LLC | Clinic/Center | 1627 E Military Ave Ste 200, Fremont, NE 68025-5490 | 2017-09-28 |
| 1013457936 | Councill Psychiatric Care Specialists | Clinic/Center | 1102 Roland Dr, Papillion, NE 68046-6167 | 2017-02-24 |
| 1184963126 | Malcom Behavioral Health Services LLC | Clinic/Center | 2315 W 39th St Ste 106, Kearney, NE 68845-8327 | 2013-02-12 |
| 1023288396 | South Central Behavioral Services, Inc | Clinic/Center | 255 S 10th Ave, Broken Bow, NE 68822-2018 | 2008-03-03 |
| 1639256761 | St. Francis Student Wellness Center | Clinic/Center | 2124 N Lafayette Ave, Grand Island, NE 68803-2048 | 2006-11-01 |
| 1417580135 | Elevate Children, LLC | Clinic/Center | 3710 Central Ave Ste 9, Kearney, NE 68847-8126 | 2020-02-20 |
| 1578125043 | Ace Counseling, LLC | Clinic/Center | 21325 Edgevale Cir, Elkhorn, NE 68022-2010 | 2019-07-03 |
| 1699203075 | Bright Futures Counseling & Autism Treatment Center | Clinic/Center | 4830 Wilshire Blvd, Lincoln, NE 68504-3365 | 2017-05-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.