Tara Ryan LCSW PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW-34461 Issued in ID

Legal business name

TARA RYAN LCSW PLLC

Practice address

760 E Warm Springs Ave
Suite F
Boise, ID 83712-6476

Phone

(208) 982-6300

NPI assigned

Dec 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tara Ryan

Title

LCSW

Phone

(208) 982-6300

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1144685876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 E WARM SPRINGS AVE",
            "address_2": "SUITE F",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126476",
            "telephone_number": "208-982-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 E WARM SPRINGS AVE",
            "address_2": "SUITE F",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126476",
            "telephone_number": "208-982-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA RYAN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "208-982-6300"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-34461",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "081479-1",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "60450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Neil Tangen, LMSW
• Zoe Elizabeth Tanner
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• Amanda Jean Tapangco, RN, IBCLC
• Stephanie Tappe, LPN
• Madisen Taran
• Sarah Anne Tarantino, PHARMD
• Kerry Michelle Tarbet, RN
• Dominique Tardif, LMT
• Nicole Alexandra Tarricone, LPC

• Community/Behavioral Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.