JAMES RYAN GORMAN SAC
NPI 1467085613
Counselor - Addiction (Substance Use Disorder) in South Milwaukee, WI
Active since February 17, 2020
1333 COLLEGE AVE, SOUTH MILWAUKEE, WI 53172(414) 775-2500(414) 301-9328 Get Directions Write a Review
About James Ryan Gorman Sac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES RYAN GORMAN SAC (NPI 1467085613) is an individual addiction (substance use disorder) provider in South Milwaukee, Wisconsin, licensed in Wisconsin (16552) and active in the NPI registry since February 2020.
NPPES Registry Identity
NPI1467085613
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAMES RYAN GORMANCredential: SAC
Location Address1333 COLLEGE AVESouth Milwaukee, WI 53172-1150
Mailing Address1333 College AveSouth Milwaukee, WI 53172-1150 · (414) 775-2500 · Fax (414) 301-9328
Phone(414) 775-2500
Fax(414) 301-9328
Sole ProprietorNo
Enumeration DateFebruary 17, 2020
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1467085613 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in WI · 16552✔ Licensed in WI · 19103
1333 COLLEGE AVE, South Milwaukee, WI 53172
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dentist (General Practice)
1333 COLLEGE AVE, SUITE C
SOUTH MILWAUKEE, WI 53172
SOUTH MILWAUKEE, WI 53172
Specialist/Technologist, Other (EEG)
1333 COLLEGE AVE, SUITE L
SOUTH MILWAUKEE, WI 53172
SOUTH MILWAUKEE, WI 53172
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467085613, enumerated as an "individual" on February 17, 2020.
The provider is located at 1333 COLLEGE AVE SOUTH MILWAUKEE, WI 53172 and the phone number is (414) 775-2500.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
