KATHLEEN S RYAN (NPI# 1497883466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497883466 |
| Entity Type | Individual |
| Full Name | KATHLEEN S RYAN |
| Credential | LCADC |
| Practice Address |
205 N Liberty St Centreville MD 21617-1022 |
| Mailing Address |
206 N Commerce St Centreville MD 21617-1049 |
| Practice Telephone | 4107581306 |
| Practice Fax Number | 4107582133 |
| Mailing Telephone | 4107581306 |
| Mailing Fax Number | 4107582133 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA133 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061176 | Kathleen M Ryan | Social Worker | 22 Ormond St, Rockville Centre, NY 11570-5533 | 2020-07-28 |
| 1487166971 | Kathleen Ryan | Registered Nurse | 216 Ramapo Rd, Garnerville, NY 10923-1511 | 2017-10-25 |
| 1912270968 | Kathleen Jean Ryan | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| 1245372622 | Kathleen Ryan | Nurse Practitioner | 6907 Ellis Ct Apt C, 6907 C, Fort Polk, LA 71459-3123 | 2007-02-13 |
| 1659356905 | Kathleen L Ryan | Specialist | 204 Ark Rd, Ste 206 Lmc I, Mount Laurel, NJ 08054-3100 | 2005-12-09 |
| 1003461542 | Kathleen Ryan | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2019-08-01 |
| 1518449677 | Kathleen M Ryan | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2018-09-05 |
| 1861903460 | Kathleen Ryan | Behavioral Analyst | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2017-10-23 |
| 1891217568 | Kathleen Donovan Ryan | Physician Assistant | 22 Bramhall St, Portland, ME 04102-3134 | 2017-07-13 |
| 1811379340 | Kathleen Ryan | Counselor | 901 Chippewa St, Catholic Charities of Shiawassee and Genesee Counties, Flint, MI 48503-1552 | 2015-06-20 |
| Street Address |
205 N LIBERTY ST |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514681 | Charlotte F Pierce | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2006-06-09 |
| 1851799936 | Queen Anne's County Health Department | Clinic/Center | 205 N Liberty St, Centreville, MD 21617-1022 | 2014-12-05 |
| 1174893556 | Queen Anne's County Health Department | Clinic/Center | 205 N Liberty St, Centreville, MD 21617-1022 | 2012-01-03 |
| 1932408242 | Elizabeth Bohaker | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| 1518266816 | Jeffrey J Holloway | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| 1942509245 | Maggie J Terzaghi | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| 1518129147 | Andrea Cheezum | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2008-06-25 |
| 1831370790 | John J Sykes | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2007-11-20 |
| 1467649392 | Philip E Fisher | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2007-09-25 |
| 1477681443 | Mary Susan Harrison | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1679514681 | Charlotte F Pierce | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2006-06-09 |
| 1275167223 | Anne Arundel Counseling, Inc. | Counselor | 633 Railroad Ave, Centreville, MD 21617-1144 | 2020-02-28 |
| 1033695028 | Ashley Hall | Counselor | 120 Banjo Ln, Centreville, MD 21617-1002 | 2018-07-13 |
| 1174025498 | Kendall Rose Savage | Counselor | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2018-03-02 |
| 1922406040 | Sarah Brianne Baldridge | Counselor | 677 E Main St, Suite A, Centreville, MI 49032-8524 | 2014-12-06 |
| 1134558075 | Leslie Dee Pitts | Counselor | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2013-11-01 |
| 1467880450 | Ann Louise Gilpin | Counselor | 677 E. Main St., Centreville, MI 49032 | 2013-10-29 |
| 1932408242 | Elizabeth Bohaker | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| 1518266816 | Jeffrey J Holloway | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
Please comment or provide details below to improve the information on KATHLEEN S 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.