NPIMap

Organization Active NPI

William F Ryan Community Health Center Inc

  • Mental Illness Community Based Residential Treatment Facility
  • New York, NY
National Provider Identifier
1245684729
Registry record updated Apr 20, 2016
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
138 W 143Rd St
New York, NY 10030-1615
Phone
(212) 749-1820
Fax
(212) 932-8323
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2016By 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 Apr 20, 2016

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

Authorized official

Name
Brian McIndoe
Title
President & Ceo
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

138 W 143Rd St
New York, NY 10030-1615

Mailing address

138 W 143Rd St
New York, NY 10030-1615
Phone (212) 749-1820

Other names 1

  • West Harlem Residence Other name

National Provider Directory

National Provider Directory
Tax ID family
Amy H Korobow MD12 organizations share this tax ID, including this one
Part of
Amy H Korobow MD

Other organizations with this tax ID 11

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": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1245684729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W 143RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301615",
            "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": "138 W 143RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301615",
            "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": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "MCINDOE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "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": "West Harlem 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 Apr 20, 2016; 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.