RYAN KIZITAFF ADC-A NPI 1265083109

NPI Information

  • NPI: 1265083109
  • Provider Name: RYAN KIZITAFF, ADC-A
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 12 BEECH ST
    CALAIS, ME
    ZIP 04619
  • Phone: (207) 454-1300

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NPI Details

Ryan Kizitaff, ADC-A is an addiction (substance use disorder) counselor in Calais, ME. Ryan Kizitaff, ADC-A NPI is 1265083109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12 BEECH ST
CALAIS, ME
ZIP 04619-203
Phone: (207) 454-1300

The enumeration date for this NPI number is 9/23/2019 and was last updated on 9/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)AD6912MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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