Active NPI
Christopher Frances Ronan, CASAC
- Addiction (Substance Use Disorder) Counselor
- Riverhead, NY
National Provider Identifier
1609645852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 31805
- Practice address
- 240 W Main St
Riverhead, NY 11901-2841 - Phone
- (631) 369-7800
- NPI assigned
- Dec 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 31805 | NY | Primary |
Addresses
Primary practice location
240 W Main St
Riverhead, NY 11901-2841
Mailing address
128 E Main St Unit 7
Riverhead, NY 11901-2443
Phone (631) 508-9555
Other practice location 1
300 Center Dr Fl 2
Riverhead, NY 11901-3393
Phone (631) 852-2680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31805 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1609645852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E MAIN ST UNIT 7",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012443",
"telephone_number": "631-508-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012841",
"telephone_number": "631-369-7800"
}
],
"practiceLocations": [
{
"address_1": "300 Center Dr Fl 2",
"address_purpose": "LOCATION",
"city": "Riverhead",
"state": "NY",
"postal_code": "119013393",
"country_code": "US",
"telephone_number": "631-852-2680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RONAN",
"first_name": "CHRISTOPHER",
"middle_name": "FRANCES",
"credential": "CASAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-29",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "31805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.