| Ryan Moylan, MS | |
| 
					140 Wood Rd Ste 206, Braintree, MA 02184-2508  | |
| (978) 222-3121 | |
| Not Available | 
| Full Name | Ryan Moylan | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 140 Wood Rd Ste 206, Braintree, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811405632 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary | 
| 101YM0800X | Counselor - Mental Health | 12757 (Massachusetts) | Primary | 
| Entity Name | Optum Behavioral Care Of Connecticut Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831970904 PECOS PAC ID: 9436502879 Enrollment ID: O20240311000793  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ryan Moylan, MS 32 Sassamon Ave, Milton, MA 02186-5816 Ph: (781) 964-1820  | Ryan Moylan, MS 140 Wood Rd Ste 206, Braintree, MA 02184-2508 Ph: (978) 222-3121  | 
Thomas W Taborelli, MS CCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Washington St, 2nd Flr, Braintree, MA 02184 Phone: 617-847-1950 Fax: 949-699-0535  | |
Josh Coronis,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 106, Braintree, MA 02184 Phone: 781-817-6675  | |
Maya A. Williams,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-843-3683  | |
Chantelle Freeman,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-428-4904 Fax: 781-848-0206  | |
Julius Enang,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-492-6408  | |
Claire Casserly,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 781-817-6675 Fax: 781-817-6745  | |
Samantha Small,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 508-678-2833  |