NPIMap

Organization Active NPI

William F Ryan Community Health Center Inc

  • Mental Illness Community Based Residential Treatment Facility
  • New York, NY
National Provider Identifier
1205280955
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
7002243R Issued in NY
Legal business name
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
Practice address
22 Convent Ave
New York, NY 10027-2604
Phone
(212) 749-1820
Fax
(212) 932-8323
NPI assigned
Apr 19, 2016
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLIAM F RYAN COMMUNITY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Jose Virella
Title
Chief Financial Officer
Phone
(212) 316-7906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 7002243R NY Primary

Addresses

Primary practice location

22 Convent Ave
New York, NY 10027-2604

Mailing address

22 Convent Ave
New York, NY 10027-2604
Phone (212) 749-1820

Other names 1

  • Convent Residence Other name

National Provider Directory

National Provider Directory
Tax ID family
William F Ryan C H C13 organizations share this tax ID, including this one
Part of
William F Ryan C H C

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1205280955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CONVENT AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272604",
            "telephone_number": "212-749-1820",
            "fax_number": "212-932-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CONVENT AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272604",
            "telephone_number": "212-749-1820",
            "fax_number": "212-932-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F RYAN COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM F RYAN COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2016-04-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "VIRELLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "212-316-7906"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "7002243R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convent Residence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.