SHERRYL LYNN MCCORKLE (NPI# 1336780360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336780360 |
| Entity Type | Individual |
| Full Name | SHERRYL LYNN MCCORKLE |
| Credential | CDCA |
| Practice Address |
43 E Babbitt St Dayton OH 45405-4903 |
| Mailing Address |
4404 Wolf Rd Dayton OH 45416-2228 |
| Practice Telephone | 9372531680 |
| Mailing Telephone | 9377182264 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 130203 | OH | Agencies |
| Street Address |
43 E BABBITT ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45405-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821581505 | Denisha Ebony Boyd | Counselor | 43 E Babbitt St, Dayton, OH 45405-4903 | 2018-06-07 |
| 1649886110 | Izabella Fai Smith | Counselor | 43 E Babbitt St, Dayton, OH 45405-4903 | 2020-09-21 |
| 1285259804 | Jordyn Pierce | Behavior Technician | 43 E Babbitt St, Dayton, OH 45405-4903 | 2020-06-09 |
| 1487277943 | Gwenda Lisa Peoples | Behavior Technician | 43 E Babbitt St, Dayton, OH 45405-4903 | 2020-05-19 |
| 1922627355 | Alexis M Reed | Behavior Technician | 43 E Babbitt St, Dayton, OH 45405-4903 | 2020-04-15 |
| 1588292775 | Kyle Tyler Baker | Counselor | 43 E Babbitt St, Dayton, OH 45405-4903 | 2020-04-01 |
| 1093356305 | Debra Horton | Technician, Other | 43 E Babbitt St, Dayton, OH 45405-4903 | 2019-10-08 |
| 1205482015 | Dawn Marie Watson | Counselor | 43 E Babbitt St, Dayton, OH 45405-4903 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252613 | Christina Giuffrida | Student in an Organized Health Care Education/Training Program | Grandview Medical Center, Ou Medical Education Office, 405 W. Grand Avenue, Dayton, OH 45405 | 2018-04-13 |
| 1740718410 | Iain William Decker | Student in an Organized Health Care Education/Training Program | 330 Forest Ave, Dayton, OH 45405 | 2017-05-25 |
| 1144779000 | Horizon Home Healthcare Service, LLC | Home Health | 201 Riverside Dr Ste 2h, Dayton, OH 45405 | 2016-10-03 |
| 1629347695 | Grandview Hospital | General Acute Care Hospital | 405 West Grand Avenue, Dayton, OH 45405 | 2011-12-21 |
| 1962712265 | Lakisha L Barber | Licensed Practical Nurse | 2039 Rustic Road, Dayton, OH 45405 | 2010-10-20 |
| 1457685232 | Sally Ann Easton | Occupational Therapy Assistant | 1390 King Tree Drive, Dayton, OH 45405 | 2009-09-25 |
| 1083848535 | Azeem Z. Vasi | Otolaryngology | 405 W. Grand Ave., Grandview Hospital and Medical Center- Medical Educatio, Dayton, OH 45405 | 2009-05-13 |
| 1588823306 | Dorothy W Clarke | Dietitian, Registered | 405 W Grand, Dayton, OH 45405 | 2008-06-06 |
| 1831243062 | Brian Michael Glenn | Nurse Anesthetist, Certified Registered | 450 W. Grand Avenue, Dayton, OH 45405 | 2007-01-23 |
| 1003989807 | Han Mok Yang | Internal Medicine | 3213 North Main Street, Dayton, OH 45405 | 2006-11-17 |
| Find all providers in zip 45405 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525763 | Essential Reflections Counseling and Consultation, LLC | Community/Behavioral Health | 4130 Linden Ave Ste 320, Dayton, OH 45432-3034 | 2019-09-02 |
| 1447807524 | Marathon Recovery Services | Community/Behavioral Health | 25 Marathon Ave, Dayton, OH 45405-3613 | 2019-08-22 |
| 1205392677 | Victory Town Community Foundation | Community/Behavioral Health | 5200 Philadelphia Dr, Dayton, OH 45415-3608 | 2019-02-11 |
| 1861987364 | Daybreak, Inc | Community/Behavioral Health | 701 S Patterson Blvd, Dayton, OH 45402-2620 | 2018-06-27 |
| 1619461555 | Tryyun Yarbrough | Community/Behavioral Health | 166 Henry St, Dayton, OH 45403-2398 | 2018-06-14 |
| 1922591833 | Fernandis Wayne Jenkins | Community/Behavioral Health | 601 Xenia Ave, Dayton, OH 45410-1825 | 2018-06-14 |
| 1780178624 | Marilyn Yvonne Davis | Community/Behavioral Health | 166 Henry St Apt 2, Dayton, OH 45403-2343 | 2018-06-14 |
| 1295228195 | Aaren Nicole Scandrick | Community/Behavioral Health | 166 Henry St Apt 5, Dayton, OH 45403-2343 | 2018-06-14 |
| 1568998904 | Project Cure Inc | Community/Behavioral Health | 1800 N. James Mcgee Blvd, Dayton, OH 45417-9526 | 2017-05-04 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.