JACK RYAN (NPI# 1922252246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922252246 |
| Entity Type | Individual |
| Full Name | JACK RYAN |
| Credential | LADC, LPC |
| Practice Address |
2475 Albany Ave Ste 203b West Hartford CT 06117-2523 |
| Mailing Address |
53 Manor Ln South Windsor CT 06074-3214 |
| Practice Telephone | 8605196492 |
| Practice Fax Number | 8605196492 |
| Mailing Telephone | 8605196492 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2019-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0008885 | CT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
003589 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548894207 | Jack Ryan | Counselor | 2137 E Ocean Blvd, Long Beach, CA 90803-2434 | 2020-03-02 |
| Street Address |
2475 ALBANY AVE STE 203B |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205329729 | New Chapter Counseling Services, LLC | Community/Behavioral Health | 2475 Albany Ave Ste 203b, West Hartford, CT 06117 | 2018-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1487040747 | Nancy Cabelus | Registered Nurse | 1678 Asylum Ave. Room 317, University of St. Joseph, West Hartford, CT 06117 | 2015-04-13 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1720282882 | Ruth Kahn | Psychologist | 54 Mountain Brook Road, West Hartford, CT 06117 | 2007-06-13 |
| 1437370426 | Dana Orthodontics PC | Dentist | 2446 Albany Avenue, West Hartford, CT 06117 | 2007-05-01 |
| 1972723146 | Michelle Payson | Occupational Therapist | One Abrahms Boulevard, West Hartford, CT 06117 | 2007-04-27 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| 1427181585 | Nancy L White | Naturopath | 10 Crossroads Plaza, West Hartford, CT 06117 | 2007-03-14 |
| 1689743452 | August C Olivar | Obstetrics & Gynecology | 2437 Albany Avenue, Suite 202, West Hartford, CT 06117 | 2006-11-07 |
| Find all providers in zip 06117 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236277 | Climbing Out Solutions, LLC | Counselor | 998 Farmington Ave Ste 104, West Hartford, CT 06107-2184 | 2020-05-11 |
| 1649737214 | Jessica Brousseau | Counselor | 75 Englewood Ave, West Hartford, CT 06110-1123 | 2019-03-01 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1932678919 | Pinnacle Behavioral Health, PC | Counselor | 345 N Main St Ste 317, West Hartford, CT 06117-2508 | 2018-11-19 |
| 1659865798 | Sieger Counseling Services, LLC | Counselor | 45 S Main St Ste 300, West Hartford, CT 06107-2402 | 2018-06-21 |
| 1346780343 | Jim Hughes | Counselor | 41 Crossroads Plz # 300, West Hartford, CT 06117-2402 | 2017-02-24 |
| 1407239825 | Lorraine Greenfield | Counselor | 15 King Edward Rd, West Hartford, CT 06117-1418 | 2015-07-02 |
| 1083997845 | Theanvy Kuoch | Counselor | 1125 New Britain Avenue, Suite 202, West Hartford, CT 06110-2440 | 2011-09-27 |
| 1144541012 | Lynne Tobin | Counselor | 47 Ledyard Rd, West Hartford, CT 06117-1712 | 2010-06-15 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06117 |
Please comment or provide details below to improve the information on JACK RYAN.
| 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.