RYAN TACY (NPI# 1053870212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053870212 |
| Entity Type | Individual |
| Full Name | RYAN TACY |
| Practice Address |
1491 Main St Willimantic CT 06226-1914 |
| Mailing Address |
995 Day Hill Rd Windsor CT 06095-1722 |
| Practice Telephone | 8604563215 |
| Practice Fax Number | 8604563351 |
| Mailing Telephone | 8606973351 |
| Mailing Fax Number | 8607315536 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1491 MAIN ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062861 | Luke B O'brien | Social Worker | 1491 Main St, Willimantic, CT 06226-1914 | 2020-04-24 |
| 1730736059 | Shontelle Ifill | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-08-21 |
| 1003469990 | William Bergmann | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-07-19 |
| 1972061745 | Barbara Smith | Licensed Practical Nurse | 1491 Main St, Willimantic, CT 06226-1914 | 2019-03-11 |
| 1609340272 | Elizabeth Kellert | Social Worker | 1491 Main St, Willimantic, CT 06226-1914 | 2019-01-17 |
| 1932673019 | Ellen Vangelakos | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-01-11 |
| 1831696202 | Deborah L Straszheim | Social Worker | 1491 Main St, Willimantic, CT 06226-1914 | 2018-04-11 |
| 1982136537 | William Buller | Student in an Organized Health Care Education/Training Program | 1491 Main St, Willimantic, CT 06226-1914 | 2017-04-03 |
| 1891246567 | Laura Davis | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2016-10-18 |
| 1821455304 | Timothy Shephard | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1811191281 | Suzanne Montesano-mclean | Counselor | 1 Richmond Ln, Willimantic, CT 06226-3825 | 2007-06-12 |
| 1548379266 | Stephanie Jane Smith | Counselor | 40 Bolivia St, Willimantic, CT 06226-2843 | 2006-08-29 |
| 1962042374 | Maria Torres | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2020-01-14 |
| 1053959692 | Alana B Mendelsohn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-12-13 |
| 1730736059 | Shontelle Ifill | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-08-21 |
| 1003469990 | William Bergmann | Counselor | 1491 Main St, Willimantic, CT 06226-1914 | 2019-07-19 |
| 1528624525 | Tiffany Kennedy | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-05-15 |
| 1891359501 | Raelene Asselin | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-29 |
| 1942762372 | Kristin Dunn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-04 |
| Find all providers in WILLIMANTIC | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
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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.