DR. RYAN MYLES WALLACE


Address: 55 Lock St, New Haven, CT 06511
Phone: 2034320290

DR. RYAN MYLES WALLACE (NPI# 1548695075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548695075
Entity Type Individual
Full Name DR. RYAN MYLES WALLACE
Practice Address 55 Lock St
New Haven
CT 06511
Mailing Address 1 Long Wharf Dr Ste 321
New Haven
CT 06511-5946
Practice Telephone 2034320290
Mailing Telephone 2037814600
Mailing Fax Number 2037814624
Enumeration Date 2013-09-03
Last Update Date 2018-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
55490 CT Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
55490 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 008022626 05
CT 500000315 05
CT 008076123 05
CT 004082286 05
CT 008056168 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
55 Lock St, New Haven, CT 065113603 2034320290
365 Montauk Ave, New London, CT 063204700 8604420711

Other Providers RYAN WALLACE

NPI Name Taxonomy Address Enumeration
1285070326 Ryan R Wallace Physician Assistant 7226 Crested Butte Dr, Cheyenne, WY 82009-3629 2013-05-16
1477875458 Ryan Christopher Wallace Dentist 420 E 3rd St Ste 1008, Los Angeles, CA 90013-1648 2010-02-18
1447859624 Ryan J Wallace Pharmacist 1493 Cambridge St, Cambridge, MA 02139-1047 2020-10-20
1922663392 Ryan Lee Wallace Student in an Organized Health Care Education/Training Program 1800 Orleans St, Baltimore, MD 21287-0010 2019-05-01
1760980577 Ryan M Wallace Counselor 117 E 3rd St, Uhrichsville, OH 44683-1818 2018-01-26
1679021497 Ryan James Wallace Nurse Practitioner 525 E Market St, Akron, OH 44304-1619 2016-09-21
1154795078 Ryan Wallace Physical Therapist 5501 N Oracle Rd Ste 101, Tucson, AZ 85704-3850 2015-11-16
1316086291 Ryan C Wallace Emergency Medicine 2401 W University Ave, Muncie, IN 47303-3428 2007-02-06
1568420354 Ryan James Wallace Physical Therapist 25241 Elementary Way, Ste 200, Bonita Springs, FL 34135-7883 2006-05-02
1003891920 Ryan Michael Wallace Emergency Medical Technician, Basic 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2005-12-14

Office Location

Street Address 55 LOCK ST
City NEW HAVEN
State CT
Zip Code 06511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558346056 Daniel I Geisser Internal Medicine 55 Lock St, Yale Health, New Haven, CT 06511-3603 2005-12-07
1497352058 Andrea Elizabeth Depetris Psychologist 55 Lock St, New Haven, CT 06511-3603 2020-10-07
1558979211 Jane Elizabeth Maria Carter Student in an Organized Health Care Education/Training Program 55 Lock St, New Haven, CT 06511-3603 2020-07-20
1396361770 Kiara Stephanie Barbieri Registered Nurse 55 Lock St, New Haven, CT 06511-3603 2020-06-22
1447879119 Emily Bail Registered Nurse 55 Lock St, New Haven, CT 06511-3603 2020-04-13
1306359773 Chanel Andrea Ostasiewski Registered Nurse 55 Lock St, New Haven, CT 06511-3603 2017-11-08
1801309273 Sonia Allard Registered Nurse 55 Lock St, New Haven, CT 06511-3603 2017-11-08
1447778907 Patrick Roberts Pharmacist 55 Lock St, New Haven, CT 06511-3603 2017-09-05
1780106260 Courtney M. Fratta Registered Nurse 55 Lock St, New Haven, CT 06511-3603 2017-07-17
1134649544 Joseph Charles Serio Pharmacist 55 Lock St, New Haven, CT 06511-3603 2017-06-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330571 Allison Elizabeth Pratt Occupational Therapist 625 Whitney Ave, Apt 5, New Haeven, CT 06511 2020-09-11
1881213346 Sarah Bleicher Registered Nurse Yale Health, 55 Lock St, New Haven, CT 06511 2020-04-14
1083268395 Danielle Lee Mcpherson Pharmacist Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 2019-07-25
1528533866 Alexia Levin Social Worker 98/100 York St, New Haven, CT 06511 2018-10-12
1861970097 Orthocare Medical Equipment LLC Durable Medical Equipment & Medical Supplies 1450 Chapel St Ste Sg15, New Haven, CT 06511 2018-07-31
1609352418 Susannah Frew Social Worker 2 Eld Street, Apt 6, New Haven, CT 06511 2018-07-15
1851881965 Empowerment Counseling Services, LLC Counselor 427 Dixwell Ave, New Haven, CT 06511 2018-05-14
1487173951 Karine Giasson-gariepy Student in an Organized Health Care Education/Training Program Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 2017-09-15
1568980696 Anna Reutenauer Dentist 123 York St Ste 4l, New Haven, CT 06511 2017-09-08
1083134753 Darin Dolezal Student in an Organized Health Care Education/Training Program 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 2017-06-23
Find all providers in zip 06511

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902330509 Azim Momin Munivar Psychiatry & Neurology 300 George St Suite 901, Yale University Department of Psychiatry, New Haven, CT 06511 2017-04-20
1245761519 Ryan Stephen O'dell Psychiatry & Neurology 300 George Street, Yale University Department of Psychiatry Suite 901, New Haven, CT 06511 2017-03-27
1457707333 Daniel Salvatore Barron Psychiatry & Neurology 300 George Street, Suite 901, Yale University Department of Psychiatry, New Haven, CT 06511 2016-05-10
1548623093 Sanya Virani Psychiatry & Neurology Va Ct Healthcare System, 950 Campbell Avenue, New Haven, CT 06516 2016-04-01
1326452434 Ebony Dix Psychiatry & Neurology 20 York St Rm 226, New Haven, CT 06510 2014-06-17
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1104266428 Sahil Munjal Psychiatry & Neurology 20 York St Fitkin 615, Ynhh, New Haven, CT 06510-3220 2013-07-01
1942583133 Sacha Agrawal Psychiatry & Neurology 623 Whitney Avenue, Apt. 1, New Haven, CT 06511 2011-09-23
1487943114 Brady John Heward Psychiatry & Neurology 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 2011-04-04
1689984171 Michael Joe Orlosky Psychiatry & Neurology 116 Court Street, Apt. 1209, New Haven, CT 06511 2010-10-18
Find all providers in NEW HAVEN

Competitor

Search similar providers

City NEW HAVEN
Zip Code 06511

Improve Information

Please comment or provide details below to improve the information on DR. RYAN MYLES WALLACE.

Dataset Information

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.

Trending Searches