JOHN DAVID RYLL (NPI# 1720354558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720354558 |
| Entity Type | Individual |
| Full Name | JOHN DAVID RYLL |
| Practice Address |
900 Ship Pond Rd Plymouth MA 02360-1849 |
| Practice Telephone | 6176867901 |
| Mailing Telephone | 6176867901 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MA | Residential Treatment Facilities |
| Street Address |
900 SHIP POND RD |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912032244 | Cynthia Mciver | Registered Nurse | 900 Ship Pond Rd, Plymouth, MA 02360 | 2007-02-23 |
| 1164037719 | Shannon Cunningham | Student in an Organized Health Care Education/Training Program | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2020-09-10 |
| 1235742073 | Alice Macaulay | Student in an Organized Health Care Education/Training Program | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2020-08-30 |
| 1518575950 | Madison Noel Janke | Counselor | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2020-07-22 |
| 1306463229 | Lindsey Rachel Frost | Occupational Therapist | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2020-06-26 |
| 1952923823 | Kayla Ann Randolph | Counselor | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2020-05-13 |
| 1013549138 | Melissa White | Social Worker | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2020-02-06 |
| 1063058865 | Megan Semple | Counselor | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2019-11-27 |
| 1578106050 | Christopher A Corna | Specialist | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2019-10-28 |
| 1275188575 | Khyleigh Lobo | Student in an Organized Health Care Education/Training Program | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2019-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033547500 | The Home for Little Wanderers | Residential Treatment Facility, Emotionally Disturbed Children | 910 Ship Pond Rd, Plymouth, MA 02360-1849 | 2013-10-21 |
| 1669670477 | Willowglen Academy-wisconsin, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Reed St, Plymouth, WI 53073-2506 | 2007-07-03 |
| 1457559262 | Willowglen Hein Foster Care Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 207 Hein Ave, Plymouth, WI 53073-2526 | 2007-07-03 |
| 1700155058 | Bay State Community Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 475 State Rd, Plymouth, MA 02360-5185 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578128815 | Latham Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1646 Main St, Brewster, MA 02631-1716 | 2019-05-02 |
| 1104397488 | Hillcrest Educational Centers Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5 Ramsdell Rd, Great Barrington, MA 01230-1147 | 2018-12-11 |
| 1851717458 | Hopewell Inc | Residential Treatment Facility, Emotionally Disturbed Children | 141 Low St, Newburyport, MA 01950-3539 | 2014-03-07 |
| 1740601400 | Northeast Center for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 201 East St, Easthampton, MA 01027-1234 | 2013-12-26 |
| 1649546300 | Clinton Paul Pina IIi | Residential Treatment Facility, Emotionally Disturbed Children | 503 Rockdale Ave, New Bedford, MA 02740-1460 | 2012-03-28 |
| 1922267335 | Eagleton School Inc | Residential Treatment Facility, Emotionally Disturbed Children | 446 Monterey Road, Great Barrington, MA 01230 | 2008-06-02 |
| 1104027499 | Valleyhead, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 79 Reservoir Rd, Lenox, MA 01240-2008 | 2007-05-31 |
| 1295944353 | Protestant Guild for Human Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 411waverly Oaks Rd, Suite 104, Waltham, MA 02452-8468 | 2007-05-22 |
| 1144439977 | Robert F. Kennedy Children's Action Corps, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 220 Old Common Rd, Lancaster, MA 01523-2208 | 2007-05-21 |
| 1558486134 | Nfi Massachusetts, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 34 Berry Rd, Lowell, MA 01854-1402 | 2007-03-20 |
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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.