J. E. Ryan Enterprise, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801010818 Issued in MI

Legal business name

J. E. RYAN ENTERPRISE, INC.

Practice address

G 4511 Miller Rd
Flint, MI 48507-1107

Phone

(810) 720-3120

Fax

(810) 742-2920

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. James Ernest Ryan, LMSW, LPC

Title

President

Phone

(810) 743-8316

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1245548544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071107",
            "telephone_number": "810-720-3120",
            "fax_number": "810-742-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G 4511 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071107",
            "telephone_number": "810-720-3120",
            "fax_number": "810-742-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. E. RYAN ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-743-8316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801010818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0N72800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terquese Ivory, MS, CMHP, QMHP, QUDP
• Miranda J Iyer
• Rebeca Paola Iyescas
• J T Aills MD PC
• Tariq I M O J Tamimi, MD
• Muhammad A Jabbar, M.D.
• Briana N Jackson
• Cheryl Jackson
• Christopher M Jackson, FNP-BC
• Courtney M Jackson

• Community/Behavioral Health Agency in Flint, MI
• Providers in Flint, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.