KATHERINE K. RYAN, PHD, LLC (NPI# 1932454352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932454352 |
| Entity Type | Organization |
| Organization Name | KATHERINE K. RYAN, PHD, LLC |
| Practice Address |
251 Woodford St Portland ME 04103-5617 |
| Practice Telephone | 2077732828 |
| Practice Fax Number | 2077618150 |
| Mailing Telephone | 2077732828 |
| Mailing Fax Number | 2077618150 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | KATHERINE K RYAN (OWNER/PSYCHOLOGIST) |
| Authorized Official Telephone | 5082841210 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1334 | ME | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1334 | ME | Ambulatory Health Care Facilities |
| Street Address |
251 WOODFORD ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-5617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164413068 | Charles Vanamee | Social Worker | 251 Woodford St, Portland, ME 04103-5617 | 2005-10-31 |
| 1689199861 | Victoria Lillios St Hilaire | Nurse Practitioner | 251 Woodford St, Portland, ME 04103-5617 | 2017-08-08 |
| 1295263762 | Dragonfly Wellness Studio LLC | Social Worker | 251 Woodford St, Portland, ME 04103-5617 | 2017-05-30 |
| 1265972749 | R Melvin Counseling LLC | Social Worker | 251 Woodford St, Portland, ME 04103-5617 | 2017-03-02 |
| 1558775197 | New Life Counseling, LLC | Psychologist | 251 Woodford St, Portland, ME 04103-5617 | 2014-06-11 |
| 1437589140 | Compass Mental Health Maine LLC | Psychologist | 251 Woodford St, Portland, ME 04103-5617 | 2013-11-15 |
| 1386080224 | Joshua Schoenfeld | Psychologist | 251 Woodford St, Portland, ME 04103-5617 | 2013-05-20 |
| 1376888511 | Joshua Ryan Kingsbury | Psychologist | 251 Woodford St, Portland, ME 04103 | 2012-11-28 |
| 1154674109 | Thomas M Cooper | Psychologist | 251 Woodford St, Portland, ME 04103-5617 | 2012-10-16 |
| 1366795338 | Cooper Counseling, LLC | Psychologist | 251 Woodford St, Portland, ME 04103-5617 | 2012-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999841 | Laura Gottfried Lcsw Inc. | Clinic/Center | 145 Newbury St Ste 2, Portland, ME 04101-4261 | 2020-10-13 |
| 1265039564 | Embodied Life Therapy Center LLC | Clinic/Center | 6906 N Richards St, Portland, OR 97203-6138 | 2020-10-08 |
| 1720685696 | Pragmatic Healing LLC | Clinic/Center | 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 | 2020-10-05 |
| 1467086215 | Deborah Ann Jewell | Clinic/Center | 5627 Ne Simpson St, Portland, OR 97218-2329 | 2020-03-01 |
| 1174023808 | Blake Locher Counseling, LLC | Clinic/Center | 1020 Sw Taylor St Ste 449, Portland, OR 97205-2556 | 2018-02-19 |
| 1134633100 | Paul Myers, Ph.d., LLC | Clinic/Center | 5441 Sw Macadam Ave Ste 104, Portland, OR 97239-3821 | 2017-11-28 |
| 1891206785 | Janz Consulting | Clinic/Center | 1020 Sw Taylor St Ste 635, Portland, OR 97205-2524 | 2017-10-18 |
| 1467979914 | Awakened Heart Pdx, LLC | Clinic/Center | 322 Nw 5th Ave Ste 308, Portland, OR 97209-3851 | 2017-08-25 |
| 1669739389 | Casco Bay Medical Pllc | Clinic/Center | 371 Fore St, 201, Portland, ME 04101-5112 | 2012-04-19 |
| 1306132220 | Patricia Camplair, Phd PC | Clinic/Center | 1020 Sw Taylor St Ste 720, Portland, OR 97205-2512 | 2011-06-20 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on KATHERINE K. RYAN, PHD, LLC.
| 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.