Kathleen a. Ryan Center for Autism

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PS006006L Issued in PA

Legal business name

KATHLEEN A. RYAN CENTER FOR AUTISM

Practice address

301 Bolivar Dr
Bradford, PA 16701-3133

Phone

(814) 598-2431

NPI assigned

Oct 22, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Edward Ryan

Title

President

Phone

(814) 598-2431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1306035738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BOLIVAR DR",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013133",
            "telephone_number": "814-598-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BOLIVAR DR",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013133",
            "telephone_number": "814-598-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A. RYAN CENTER FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-598-2431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS006006L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Kaczmarek, RN
• Mariann Kahle
• Ann M Kane, PT
• Kartesz Family Vision LLC
• Kevin Joseph Kartesz, O.D.
• Allison Keller
• Regina Marie Kennedy, MED CCC SLP LICENSE
• Jessica Kersting
• Keystone Medical Services of Bradford PC
• Nicholas Kicior

• Community/Behavioral Health Agency in Bradford, PA
• Providers in Bradford, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.