CLINT DORN (NPI# 1407344807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407344807 |
| Entity Type | Individual |
| Full Name | CLINT DORN |
| Practice Address |
7015 Spring Mdws W Ste 102 Holland OH 43528-9299 |
| Mailing Address |
815 Carver Blvd Toledo OH 43607-2246 |
| Practice Telephone | 4194911180 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053476168 | Clint Ryan Dorn | Chiropractor | W6905 Parkview Dr, Suite B, Greenville, WI 54942-9099 | 2006-12-27 |
| Street Address |
7015 SPRING MDWS W STE 102 |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-9299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888568 | Sharonda Perkins | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-01-02 |
| 1790272755 | Geneva Myres-gregory | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-04-16 |
| 1104313147 | Ashley Collins | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-04-16 |
| 1386131308 | Andre Jackson | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-04-16 |
| 1073019006 | Andrea Dafler | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-03-30 |
| 1528563558 | Phillip Morton | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-03-30 |
| 1528562063 | Cynthia Mary Goethals | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-03-20 |
| 1518461052 | Juan Hall | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-03-20 |
| 1932603719 | Julia Oliver | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-03-19 |
| 1174025142 | Jeffery Kirkman | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| 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 |
|---|---|---|---|---|
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1427565779 | Kecia Gay | Community/Behavioral Health | 7015 Spring Mdws W, Holland, OH 43528-9299 | 2018-01-09 |
| 1659888568 | Sharonda Perkins | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-01-02 |
| 1104336296 | Newness of Life Counseling LLC | Community/Behavioral Health | 7445 Airport Hwy Ste E, Holland, OH 43528-9544 | 2017-10-03 |
| 1992226807 | A Step Beyond | Community/Behavioral Health | 5726 Southwyck Blvd, Holland, OH 43614 | 2017-06-30 |
| 1609245893 | Susan Moore | Community/Behavioral Health | 14 Heather Valley Rd, Holland, PA 18966-2630 | 2015-09-18 |
| 1497053664 | Choices Behavioral Health Care | Community/Behavioral Health | 350 N Irwin Rd, Holland, OH 43528-8964 | 2011-03-11 |
| 1952620106 | County of Ottawa | Community/Behavioral Health | 12263 James St, Holland, MI 49424-8613 | 2010-05-27 |
| 1114165438 | Midtown Counseling Services | Community/Behavioral Health | 96 W 15th St Ste 208-9, Holland, MI 49423-3370 | 2009-01-23 |
| 1104488949 | Charis | Community/Behavioral Health | 186 S River Ave Ste 5, Holland, MI 49423-2848 | 2019-07-02 |
| Find all providers in HOLLAND | ||||
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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.