Steven J. Ryan, M.D., P.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

16685 Issued in NE

Legal business name

STEVEN J. RYAN, M.D., P.C.

Practice address

12020 Shamrock PLZ Ste 200
Omaha, NE 68154-3537

Phone

(402) 504-1736

Fax

(402) 331-1557

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Steven J. Ryan, M.D.NPI 1912026931

Title

President

Phone

(402) 614-4861

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven J. Ryan, M.D.

  • Child & Adolescent Psychiatry Physician
  • La Vista, NE
  • NPI 1912026931
  NPD (past) Authorized official

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1174033310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 S 92ND AVE",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283203",
            "telephone_number": "402-614-4861",
            "fax_number": "402-333-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SHAMROCK PLZ STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543537",
            "telephone_number": "402-504-1736",
            "fax_number": "402-331-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13304 W Center Rd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681443457",
            "country_code": "US",
            "telephone_number": "402-614-4861",
            "fax_number": "402-331-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEVEN J. RYAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-614-4861",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NE",
            "license": "16685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RY060501",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Joseph Stessman, M.S., PLMHP
• Laura J Stetchak, AUD
• Steven Boman, Ma, LMHP, CMFT
• Steven D Meinhold, PC
• Steven D. Wegner, D.D.S., P.C.
• Steven R Eggers DDS PC
• Angelena R Stevens, PLMHP
• Angelika L Stevens, PAC
• Ashley Rae Stevens, AU.D
• Brian Edward Stevens, D.C.

• Adolescent and Children Mental Health Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Adolescent and Children Mental Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.