WILLIAM KLYKYLO (NPI# 1598722571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598722571 |
Entity Type | Individual |
Full Name | WILLIAM KLYKYLO |
Credential | MD |
Practice Address |
627 Edwin C Moses Blvd East Medical Plaza Dayton OH 45408 |
Mailing Address |
725 University Blvd Dayton OH 45435-0001 |
Practice Telephone | 9372238840 |
Mailing Telephone | 9372457100 |
Mailing Fax Number | 9372457999 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2013-04-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35043392 | OH | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35043392 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0471994 | 05 |
Street Address |
627 EDWIN C MOSES BLVD EAST MEDICAL PLAZA |
City | DAYTON |
State | OH |
Zip Code | 45408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013974096 | Jerald Kay | Psychiatry & Neurology | 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 | 2006-04-26 |
1831156843 | Brenda J Roman | Psychiatry & Neurology | 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 | 2006-04-26 |
1801853726 | Julie Gentile | Psychiatry & Neurology | 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 | 2006-04-26 |
1104883016 | Christina G Weston | Psychiatry & Neurology | 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
1730363813 | Susan C Mumford | Social Worker | 627 S. Edwin C. Moses Blvd, Suite 100, Dayton, OH 45408 | 2007-12-24 |
1649237553 | Jerry Eugene Flexman | Clinical Neuropsychologist | 1 Elizabeth Place, West Pavilion 1st Floor Suite C, Dayton, OH 45408 | 2006-04-26 |
1265491930 | Healing Touch Home Healthcare | Registered Nurse | 601 S.edwin C. Moses, East Plaza, Suite 3-i, Dayton, OH 45408 | 2006-03-21 |
1023082401 | Philip Copelain Williams Jr. | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45408 | 2006-02-14 |
1912987256 | Heart Hospital of Dto, LLC | General Acute Care Hospital | 707 S. Edwin C. Moses Blvd, Dayton, OH 45408 | 2006-01-20 |
1821076365 | Pesso Investments, Ltd | Emergency Medicine | 707 S. Edwin C. Moses Blvd., Dayton, OH 45408 | 2006-01-05 |
1184605727 | Benjamin David Shaffer | Pharmacist | 707 South Edwin C. Moses Blvd., Dayton, OH 45408 | 2005-11-10 |
1396974358 | The Karrington Company LLC | Durable Medical Equipment & Medical Supplies | One Elizabeth Place, Dayton, OH 45408 | 2009-07-10 |
1538339452 | Vrajlal N Chauhan | Counselor | 1 Elizabeth Place, Ste D, Dayton, OH 45408 | 2008-03-06 |
Find all providers in zip 45408 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
1649382318 | Sara N Batata | Psychiatry & Neurology | 1901 Tait Circle Rd, Dayton, OH 45429-1141 | 2006-08-31 |
1699917930 | Natosha Smith Onasanya | Psychiatry & Neurology | 700 E 1st St, Dayton, OH 45402-1303 | 2009-04-01 |
1396934162 | Kelly Marie Blankenship | Psychiatry & Neurology | 1 Childrens Plz, Dayton, OH 45404 | 2007-10-17 |
1265446512 | Gary A Balster Md Inc | Psychiatry & Neurology | 2218 S Patterson Blvd, Dayton, OH 45409-1930 | 2006-07-29 |
1770512105 | Kirk P Chung | Psychiatry & Neurology | 5350 Lamme Rd, Dayton, OH 45439-3215 | 2006-06-30 |
1942237425 | Stephanie Ann Riolo | Psychiatry & Neurology | 1001 E 2nd St, Suite 2000, Dayton, OH 45402-1372 | 2006-06-28 |
1881651800 | Dean X Parmelee | Psychiatry & Neurology | 627 S Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408-1461 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
1467768531 | Jillian Alexis Shellabarger | Psychiatry & Neurology | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2010-08-26 |
1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
1346443090 | Madhuri Medarametla | Psychiatry & Neurology | 7590 Wentworth Ln, Mentor, OH 44060-7273 | 2007-06-08 |
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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.