MR. ROBERT BRODERICK RYAN (NPI# 1881834604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881834604 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BRODERICK RYAN |
| Credential | LMHC |
| Practice Address |
4400 Bayou Blvd Suite 8d Pensacola FL 32503-2673 |
| Practice Telephone | 8504749881 |
| Mailing Telephone | 8504749881 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH2270 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1760884670 | Robert Ryan | Psychologist | 1 Hwy 1, San Luis Obispo, CA 93409-8101 | 2014-09-23 |
| 1437491396 | Robert A Ryan | Surgery | 1127 Forest Hill Rd, Lake Forest, IL 60045-4009 | 2013-03-19 |
| 1164744041 | Robert Russell Ryan | Pharmacist | 7 Harbor Way, Sea Cliff, NY 11579-2125 | 2010-02-19 |
| 1275680985 | Robert P Ryan | Emergency Medicine | 16315 Old Stable Rd, San Antonio, TX 78247 | 2007-01-04 |
| 1295804169 | Robert William Ryan | Dentist | 1229 Hancock St, Quincy, MA 02169 | 2006-11-07 |
| 1457432866 | Robert N Ryan | Dentist | 555 Salem St, Chico, CA 95928-5536 | 2006-10-18 |
| 1780764258 | Robert Thomas Ryan IIi | Urology | 1339 E Court Street, Suite 220, Seguin, TX 78155-5141 | 2006-10-17 |
| 1164512810 | Robert Paul Ryan | Chiropractor | 655 Creekside Dr, Suite H, Oxford, AL 36203-1292 | 2006-10-13 |
| 1093743239 | Robert Eldon Ryan IIi | Pediatrics | 5415 Topa Topa Dr, Ventura, CA 93003-1148 | 2006-06-28 |
| Street Address |
4400 BAYOU BLVD SUITE 8D |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328417 | Editha Bielitz | Obstetrics & Gynecology | 4400 Bayou Blvd, Ste 52a, Pensacola, FL 32503 | 2005-07-01 |
| 1619325362 | Laticia Jackson | Health Educator | 4400 Bayou Blvd, Suite 47b3, Pensacola, FL 32503-2673 | 2016-06-02 |
| 1598169757 | Susan Anne Danahy, Ph.d. | Psychologist | 4400 Bayou Blvd, Building #51, Pensacola, FL 32503-2673 | 2014-10-17 |
| 1659775823 | Steve Hirschorn, Ph.d. | Marriage & Family Therapist | 4400 Bayou Blvd, Building #51, Pensacola, FL 32503-2673 | 2014-10-17 |
| 1730503905 | Rule One LLC | Clinic/Center | 4400 Bayou Blvd, Suite 36, Pensacola, FL 32503-2673 | 2014-02-09 |
| 1083053771 | Concura Inc. | Home Health | 4400 Bayou Blvd, Suite 39b, Pensacola, FL 32503-1911 | 2013-06-17 |
| 1487993531 | Susan Gessler | Counselor | 4400 Bayou Blvd, Suite 38, Pensacola, FL 32503-2673 | 2013-02-10 |
| 1417294695 | Benjamin J Hodges & Associates Pa | Dentist | 4400 Bayou Blvd, Ste 3a, Pensacola, FL 32503-2673 | 2013-01-09 |
| 1689921157 | Carmella Louise Miller | Social Worker | 4400 Bayou Blvd, Unit 38, Pensacola, FL 32503-2673 | 2012-08-14 |
| 1932466653 | Linda Jane Fricke | Nurse Practitioner | 4400 Bayou Blvd, Suite 36, Pensacola, FL 32503 | 2012-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796418 | Sherl Diane Craft | Counselor | 822 Lavon Dr, Pensacola, FL 32506-5689 | 2020-09-28 |
| 1730797234 | Danielle Kramer | Counselor | 10080 Rookery Rd, Pensacola, FL 32507-7205 | 2020-07-21 |
| 1154947612 | Michele Manassah | Counselor | 1600 Governors Dr Apt 1021, Pensacola, FL 32514-9439 | 2020-06-21 |
| 1386263465 | Dannielle Taylor | Counselor | 1602 Governors Dr Apt 2716, Pensacola, FL 32514-9441 | 2020-04-09 |
| 1083243026 | Margaret Eula Thompson Carr | Counselor | 7705 Le Jeune Dr, Pensacola, FL 32514-6530 | 2020-04-02 |
| 1720612062 | Kimberly Bowens | Counselor | 321 N De Villiers St Ste 209, Pensacola, FL 32501-3891 | 2020-02-25 |
| 1992343172 | The Center for Compassionate Care, LLC | Counselor | 6707 Plantation Rd Ste B3, Pensacola, FL 32504-6216 | 2019-12-18 |
| 1417507146 | Cynthia Marie Skoros | Counselor | 9511 Holsberry Rd Ste E, Pensacola, FL 32534-1347 | 2019-09-14 |
| 1831752039 | Inner Peace Pensacola LLC | Counselor | 600 University Office Blvd Ste 7, Pensacola, FL 32504-6251 | 2019-04-15 |
| 1508339235 | Kristie Williams | Counselor | 1610 Barrancas Ave, Pensacola, FL 32502-5212 | 2019-01-04 |
| Find all providers in PENSACOLA | ||||
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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.