RACHAEL DIANE RYAN (NPI# 1265915821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265915821 |
| Entity Type | Individual |
| Full Name | RACHAEL DIANE RYAN |
| Practice Address |
170 Wilkerson Ave Ste A-d Perris CA 92570-2200 |
| Mailing Address |
170 Wilkerson Ave Ste A&b Perris CA 92570-2200 |
| Practice Telephone | 8664815361 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1558848507 | Rachael Ryan | Technician | 7032 Alaska Ave Nw, Washington, DC 20012-1542 | 2018-07-23 |
| 1669032991 | Rachael Anne Ryan | Pediatrics | 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104-4319 | 2019-06-18 |
| 1326499328 | Rachael Danielle Ryan | Pharmacist | 617 Highland St, Mount Holly, NC 28120-2185 | 2016-06-30 |
| Street Address |
170 WILKERSON AVE STE A-D |
| City | PERRIS |
| State | CA |
| Zip Code | 92570-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184951022 | Michelle Alice Creed | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2009-11-13 |
| 1043854060 | Bill Thomas Dailey | Peer Specialist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2019-11-01 |
| 1326606518 | Jesse Lee Murray | Peer Specialist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2019-06-03 |
| 1548727670 | Marie Lampi | Peer Specialist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2019-02-25 |
| 1376028258 | Katy Mckee | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2018-09-26 |
| 1174996136 | Kristen Ellis | Marriage & Family Therapist | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2015-11-12 |
| 1194136481 | Andrea Contreras | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2014-05-08 |
| 1780020727 | Rachael Ann Gelgand | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2013-05-17 |
| 1659616266 | Recovery Innovations, Inc | Community/Behavioral Health | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2012-12-07 |
| 1467734590 | Christopher Lee Tieffer | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2011-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
| 1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
| 1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
| 1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| Find all providers in zip 92570 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819246 | Kiante Mckinley | Counselor | 172 Goldenrod Ave, Perris, CA 92570-7239 | 2019-09-05 |
| 1457897266 | Breaking Free of Addiction | Counselor | 27140 Plum St, Perris, CA 92570-7720 | 2017-01-18 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1639414360 | Racheal Katherine Kerr | Counselor | 2055 N Perris Blvd Ste G5-g6, Perris, CA 92571-2509 | 2012-12-06 |
| 1679803472 | Christine M Mcnees-kelly | Counselor | 236 E Third St, Suite B, Perris, CA 92570-2260 | 2009-12-30 |
| 1275777989 | Kelly Ann Caruso | Counselor | 2055 N Perris Blvd Ste G6, Perris, CA 92571-2516 | 2009-04-24 |
| 1891898391 | Mark Steven Verdugo | Counselor | 351 Wilkerson Ave Ste D, Perris, CA 92570-2203 | 2006-09-07 |
| 1003433137 | Shawna Michaele Mongiovi | Counselor | 170 Wilkerson Ave Ste A&b, Perris, CA 92570-2200 | 2020-07-06 |
| 1982046371 | Lucille Crowder | Counselor | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2013-07-25 |
| 1780020727 | Rachael Ann Gelgand | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2013-05-17 |
| Find all providers in PERRIS | ||||
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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.