Active NPIIndividual provider

Ryan Grealis

Counselor, Addiction (Substance Use Disorder) in Hartford, Connecticut

NPI Number1770932139
Practice location
55 Fishfry St, Hartford, CT 06120-1203
Fax
—
Last updated
June 7, 2016

Ryan Grealis is a Counselor, Addiction (Substance Use Disorder) based in Hartford, CT. Ryan Grealis practices in Hartford, CT. The NPI Number for Ryan Grealis is 1770932139 and holds a License No. MA79996167 (MA). The current practice location address for Ryan Grealis is 55 Fishfry St, Hartford, CT 06120-1203 and can be reached out via phone at 203-635-4644.

Provider Profile Details

NPI Number
1770932139
Provider Name
Ryan Grealis
Provider Entity Type
Individual
Gender
Male
Address
55 Fishfry St, Hartford, CT 06120-1203
Phone Number
203-635-4644
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2016
Last Update Date
June 7, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fishfry St
Hartford, CT 06120-1203
Zip
06120-1203
Phone Number
203-635-4644
Hartford, CT 06120Get directions →

Provider Business Mailing Address Details

Address
125 Franklin St
Feeding Hills, MA 01030-2309
City
Feeding Hills
State
MA
Zip
01030-2309

License Information

License Number
MA79996167
License State
MA
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ryan Grealis?

The NPI number of Ryan Grealis is 1770932139. It was assigned on June 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Ryan Grealis?

Ryan Grealis is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number MA79996167.

Where does Ryan Grealis practice?

The practice location is 55 Fishfry St, Hartford, CT 06120-1203. The office can be reached at 203-635-4644 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770932139 directly on the NPPES registry website.

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