JAMES RYAN GORMAN SAC NPI 1467085613

NPI Information

  • NPI: 1467085613
  • Provider Name: JAMES RYAN GORMAN, SAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1333 COLLEGE AVE
    SOUTH MILWAUKEE, WI
    ZIP 53172
  • Phone: (414) 775-2500

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NPI Details

James Ryan Gorman, SAC is an addiction (substance use disorder) counselor in South Milwaukee, WI. James Ryan Gorman, SAC NPI is 1467085613. 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:

1333 COLLEGE AVE
SOUTH MILWAUKEE, WI
ZIP 53172-150
Phone: (414) 775-2500
Fax: (414) 301-9328

The enumeration date for this NPI number is 2/17/2020 and was last updated on 4/1/2022.

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)19103WISCONSINNo
2101YA0400XCounselorAddiction (Substance Use Disorder)16552WISCONSINYes

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

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