WILLIAM F RYAN COMMUNITY HEALTH CENTER INC (NPI# 1669746905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669746905 |
| Entity Type | Organization |
| Organization Name | WILLIAM F RYAN COMMUNITY HEALTH CENTER INC |
| Other Organization Name | THE BRIDGE |
| Practice Address |
248 W 108th St New York NY 10025-2956 |
| Practice Telephone | 2127491820 |
| Practice Fax Number | 2129328323 |
| Mailing Telephone | 2127491820 |
| Mailing Fax Number | 2129328323 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | BRIAN MCINDOE (PRESIDENT & CEO) |
| Authorized Official Telephone | 2123167906 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM F RYAN COMMUMNITY HEALTH CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02999264 | 05 |
| Other Name | Type Code |
|---|---|
| The Bridge | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1245684729 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 138 W 143rd St, New York, NY 10030-1615 | 2016-04-20 |
| 1205280955 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 22 Convent Ave, New York, NY 10027-2604 | 2016-04-19 |
| 1366716680 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 483 W End Ave, New York, NY 10024-4340 | 2012-03-05 |
| 1679846943 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 2720 Broadway, New York, NY 10025-3939 | 2012-02-17 |
| 1013360528 | William F Ryan Community Health Center Inc | Clinic/Center | 2381 Frederick Douglass Blvd, New York, NY 10027-1822 | 2016-07-20 |
| 1013331594 | William F Ryan Community Health Center Inc | Clinic/Center | 110 W 97th St, New York, NY 10025-6450 | 2014-02-05 |
| 1124347182 | William F Ryan Community Health Center Inc | Clinic/Center | 801 Amsterdam Ave, New York, NY 10025-5704 | 2010-05-28 |
| 1730317769 | William F Ryan Community Health Center Inc | Clinic/Center | 565 Manhattan Ave, New York, NY 10027-5250 | 2009-06-29 |
| 1851328199 | William F Ryan Community Health Center Inc | Clinic/Center | 110 W 97th St, New York, NY 10025 | 2006-06-26 |
| Street Address |
248 W 108TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932279973 | Harriet O Hagan | Psychiatry & Neurology | 248 W 108th St, New York, NY 10025-2956 | 2006-11-08 |
| 1811595259 | Samuel Austin Formanek | Counselor | 248 W 108th St, New York, NY 10025-2956 | 2020-10-16 |
| 1689284598 | Emily Thulier | Counselor | 248 W 108th St, New York, NY 10025-2956 | 2020-08-05 |
| 1184250474 | Jessica Mae Orense | Counselor | 248 W 108th St, New York, NY 10025-2956 | 2020-03-18 |
| 1871155903 | Marsha Avecita Noel | Licensed Practical Nurse | 248 W 108th St, New York, NY 10025-2956 | 2019-06-28 |
| 1821655564 | Elizabeth Connolly | Social Worker | 248 W 108th St, New York, NY 10025-2956 | 2019-05-28 |
| 1912564923 | Jessica O'neill | Social Worker | 248 W 108th St, New York, NY 10025-2956 | 2019-05-24 |
| 1346710753 | Emily Beyer | Counselor | 248 W 108th St, New York, NY 10025-2956 | 2018-11-28 |
| 1053800938 | Jamie Adorno | Registered Nurse | 248 W 108th St, New York, NY 10025-2956 | 2018-05-06 |
| 1083125181 | Elinatan C Weinstein | Social Worker | 248 W 108th St, New York, NY 10025-2956 | 2017-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922661784 | Greater Horizons, House Inc. | Community Based Residential Treatment Facility, Mental Illness | 25 Indian Rd Apt 6f, New York, NY 10034-1018 | 2019-04-17 |
| 1245684729 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 138 W 143rd St, New York, NY 10030-1615 | 2016-04-20 |
| 1205280955 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 22 Convent Ave, New York, NY 10027-2604 | 2016-04-19 |
| 1366716680 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 483 W End Ave, New York, NY 10024-4340 | 2012-03-05 |
| 1679846943 | William F Ryan Community Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 2720 Broadway, New York, NY 10025-3939 | 2012-02-17 |
| 1689959223 | Marlene A Dennis | Community Based Residential Treatment Facility, Mental Illness | 135 W 50th St # W, New York, NY 10020-1201 | 2011-10-14 |
| 1225202708 | Weston United | Community Based Residential Treatment Facility, Mental Illness | 321 W 125th St, New York, NY 10027-3637 | 2008-04-16 |
| 1619212313 | New Vision Services Inc | Community Based Residential Treatment Facility, Mental Illness | 2253 3rd Ave, New York, NY 10035-2206 | 2012-12-06 |
| 1588983902 | North General Hospital | Community Based Residential Treatment Facility, Mental Illness | 1879 Madison Ave, New York, NY 10035-2709 | 2010-05-25 |
| 1972743896 | Comunilife, Inc. | Community Based Residential Treatment Facility, Mental Illness | 214 W 29th St, New York, NY 10001-5203 | 2009-03-05 |
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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.