HAROLD A MCKINNISS (NPI# 1508232133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508232133 |
| Entity Type | Individual |
| Full Name | HAROLD A MCKINNISS |
| Credential | LPN |
| Practice Address |
601 S Edwin C Moses Blvd Samaritan Behaviroral Health, 4th Floor, Nw Bldg Dayton OH 45417-3424 |
| Practice Telephone | 9377348333 |
| Mailing Telephone | 9377348333 |
| Mailing Fax Number | 9372768269 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PN128169MEDS | OH | Nursing Service Providers |
| Street Address |
601 S EDWIN C MOSES BLVD SAMARITAN BEHAVIRORAL HEALTH, 4TH FLOOR, NW BLDG |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538150479 | Gail A Mcnerney | Counselor | 601 S Edwin C Moses Blvd, Samaritan Behavioral Health, Inc., Dayton, OH 45417-3424 | 2005-10-31 |
| 1295348514 | Heather R Goudy | Counselor | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-08-26 |
| 1871133181 | Linlin Xiao | Registered Nurse | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-01-14 |
| 1861030728 | Rickendra Kelley | Social Worker | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2019-12-11 |
| 1073160446 | Sidney M Beckman | Social Worker | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2019-08-21 |
| 1508422304 | Stelisa E Morgan | Social Worker | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2019-05-16 |
| 1649835109 | Jennifer N Posey | Social Worker | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2019-05-09 |
| 1053974535 | Torie L Nier | Counselor | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2019-04-19 |
| 1902364086 | Kaitlyn R Stewart | Counselor | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2019-03-07 |
| 1437623196 | Tracy M Sellers | Case Manager/Care Coordinator | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366802027 | Crystal A Mckinniss | Licensed Psychiatric Technician | 601 S Edwin C Moses Blvd, Samaritan Behavioral Health Inc., Dayton, OH 45417-3424 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588008023 | Arnetta Michelle Davis | Licensed Psychiatric Technician | 11901 Silmor Ave, Cleveland, OH 44108-1575 | 2013-04-27 |
| 1295908051 | Christy Danielle Jackson | Licensed Psychiatric Technician | 409 Courtland St, Elyria, OH 44035-3167 | 2008-04-11 |
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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.