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RYAN K FONTANILLA MD
NPI 1083821110
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Active since May 17, 2007
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5270(616) 455-5460 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ryan K Fontanilla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN K FONTANILLA MD (NPI 1083821110) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (4301088070) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1083821110
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRYAN K FONTANILLACredential: MD
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Phone(616) 455-5270
Fax(616) 455-5460
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateDecember 18, 2013
✔ NPI 1083821110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MI · 4301088070✔ Licensed in WY · 8366A
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
300 68TH ST SE, Grand Rapids, MI 49548
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Other Identifiers 1

Medicare PIND16083187MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN LEIGH MURRAY L.C.S.W
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
CANDY MCKENNEY
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
TAO CHANCE BROWN-EDWARDS
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. REBECCA JOY BACK LMSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (269) 929-7342
SARA RENE QUASHNIE LLMSW
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
KIMERA RAIN HARRIS
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500
AMY LOUISE MCGAREY MSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
JUNE BUIKEMA-TEBEAU
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Fontanilla's NPI number?

The NPI number for Ryan Fontanilla is 1083821110. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Ryan Fontanilla located?

Ryan Fontanilla practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5270.

What is Ryan Fontanilla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Ryan Fontanilla was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.