MARK CONLEY RYAN (NPI# 1942719638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942719638 |
| Entity Type | Individual |
| Full Name | MARK CONLEY RYAN |
| Credential | RADT-1 |
| Practice Address |
3800 Power Inn Rd Sacramento CA 95826-4333 |
| Mailing Address |
9401 Roan Ranch Cir Elk Grove CA 95624-4614 |
| Practice Telephone | 9164500700 |
| Mailing Telephone | 6192188609 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1257170717 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023354388 | Mark Daniel Ryan | Dentist | 9 Briarcliff Prof Ctr, Ste D, Bourbonnais, IL 60914-2423 | 2012-12-13 |
| 1487970133 | Mark Alan Ryan | Community/Behavioral Health | 2617 Sw 63rd St, Oklahoma City, OK 73159-1715 | 2010-04-19 |
| 1306171194 | Mark Allen Ryan | Counselor | 3242 Quincy St, Butte, MT 59701-4444 | 2009-10-12 |
| 1912038514 | Mark C Ryan | Social Worker | 360 9th Ave, Floor 2, Brooklyn, NY 11215 | 2007-03-08 |
| 1740322049 | Mark T Ryan | Dentist | 622 Savin Avenue, West Haven, CT 06516-4936 | 2007-02-13 |
| 1477626828 | Mark Harvey Ryan | Dentist | 7500 E Mcdonald Drive, Ste 101 B, Scottsdale, AZ 85250 | 2006-11-15 |
| 1669447637 | Mark Kenneth Ryan | Nurse Practitioner | 30549 Sussex Hwy, Laurel, DE 19956-3891 | 2006-02-22 |
| 1568020626 | Mark Ryan | Physician Assistant | 6 Hatfield St, Northampton, MA 01060-1556 | 2019-06-04 |
| 1568709475 | Mark Ryan | Psychologist | 45 Franklin St, San Francisco, CA 94102-6017 | 2013-01-11 |
| 1659513919 | Mark Mcgrath Ryan | Internal Medicine | 2114 Creighton Road, A, Pensacola, FL 32504 | 2009-04-01 |
| Street Address |
3800 POWER INN RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95826-4333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688094 | Brooke Oliver | Behavior Technician | Sacramento 8801 Folsom Blvd., Ste. 195, Sacramento, CA 95826 | 2020-01-10 |
| 1679126908 | Albert Einstein Middle School /sacramento City Unified School District | Local Education Agency (LEA) | 9325 Mirandy Drive, Albert Einstein Middle School, Sacramento, CA 95826 | 2019-07-16 |
| 1487146833 | Sarah Collins | Counselor | 4212 Westporter Dr, Sacramento, CA 95826 | 2018-06-01 |
| 1831609221 | Stacey Ann Moote | Behavior Technician | 8795 La Riviera Dr 169, 169, Sacramento, CA 95826 | 2017-10-11 |
| 1033649041 | Joseph Stephen Rapozo | Counselor | 3600 Power Inn Road, Sacramento, CA 95826 | 2017-06-13 |
| 1497201289 | Maureen Belli-bomgardner | Counselor | 3201 Florin Perkins Road, Sacramento, CA 95826 | 2016-08-31 |
| 1316317613 | Tlcs, Inc. | Community/Behavioral Health | 9342 Tech Center Drive, Ste.600, Sacramento, CA 95826 | 2015-09-29 |
| 1942683479 | Tlcs, Inc. | Community/Behavioral Health | 9333 Tech Center Drive, Ste. 100, Sacramento, CA 95826 | 2015-07-01 |
| 1881071157 | Rene Frentzen | Case Manager/Care Coordinator | 9394 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2015-05-06 |
| 1184026262 | Bojana Pandurevic | Marriage & Family Therapist | 9343 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2014-09-21 |
| Find all providers in zip 95826 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472440 | Jamie Lee Byrnes | Counselor | 777 12th St Ste 250, Sacramento, CA 95814-1929 | 2020-09-16 |
| 1104431519 | Sally Kathleen Montazer | Counselor | 1134 Clinton Rd, Sacramento, CA 95825-7304 | 2020-09-11 |
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1972127611 | Brianna Hope Barron | Counselor | 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 | 2020-05-28 |
| 1699398420 | Selena Marie Brown | Counselor | 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 | 2020-05-27 |
| 1346863222 | Erin Harris | Counselor | 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 | 2020-05-26 |
| 1023638566 | Marta Yomara Rodriguez | Counselor | 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 | 2020-04-24 |
| 1033739321 | Yancey Outreach International Inc. | Counselor | 1457 Dreamy Way, Sacramento, CA 95835-1761 | 2020-04-16 |
| 1114554136 | Cassandra Arlene Del Toro Ruiz | Counselor | 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 | 2020-03-27 |
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95826 |
Please comment or provide details below to improve the information on MARK CONLEY 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.