Judy M Vanryzin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2487-123 Issued in WI

Practice address

410 S Walnut St
Appleton, WI 54911-5920

Phone

(920) 832-4741

Fax

(920) 832-2185

NPI assigned

Apr 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Brown

  • Psychiatric Hospital
  • Green Bay, WI
  • NPI 1801908975
  NPD (past)
• County of Outagamie

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Appleton, WI
  • NPI 1629138995
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1659546299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S WALNUT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115920",
            "telephone_number": "920-832-4741",
            "fax_number": "920-832-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S WALNUT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115920",
            "telephone_number": "920-832-4741",
            "fax_number": "920-832-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANRYZIN",
        "first_name": "JUDY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2487-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39279800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Vanness
• Nicole Anne Vannoie, APNP
• Katie Vannuland, OT
• Wendy Marijke Vanroojen, LM, CPM
• Madelyn Vanrossum
• Sharon Ann Vanstiphout, COTA
• Cherian J Varghese, M.D.
• Mara L Veltus
• Ven Mental Health and TMS Services of Wisconsin LLC
• Catherine Elizabeth Ventura, LPC-IT, ATR-BC

• Clinical Social Worker in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.