NPIMap

Organization Active NPI

William F Ryan Community Health Center Inc

  • Mental Illness Community Based Residential Treatment Facility
  • New York, NY
National Provider Identifier
1366716680
Registry record updated Nov 19, 2015
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
483 W End Ave
New York, NY 10024-4340
Phone
(212) 749-1820
Fax
(212) 932-8323
NPI assigned
Mar 5, 2012
Organization subpart
Yes
Parent organization
WILLIAM F RYAN COMMUNITY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Brian McIndoe
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

483 W End Ave
New York, NY 10024-4340

Mailing address

483 W End Ave
New York, NY 10024-4340
Phone (212) 749-1820

Other identifiers 1

IdentifierTypeStateIssuer
02999264MedicaidNY

Other names 1

  • West End Intergenerational Residence Other name

National Provider Directory

National Provider Directory
Part of
Ryan Nena CHC

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1366716680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244340",
            "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": "483 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244340",
            "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": "2012-03-05",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "MCINDOE",
        "authorized_official_first_name": "BRIAN",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02999264",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Intergenerational 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 Nov 19, 2015; 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.