DR. JERLYN MCCLEOD (NPI# 1972659407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972659407 |
| Entity Type | Individual |
| Full Name | DR. JERLYN MCCLEOD |
| Other Name | JERLYN MCCLEOD |
| Credential | M.D. |
| Practice Address |
101 Medical Dr Dothan AL 36303-6903 |
| Practice Telephone | 3347027222 |
| Practice Fax Number | 3347021944 |
| Mailing Telephone | 3347027222 |
| Mailing Fax Number | 3347021944 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25317 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 127946 | 05 | |
| AL | 051553959 | 05 |
| Street Address |
101 MEDICAL DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922599455 | Carrie E. Baggett | Social Worker | 101 Medical Dr, Dothan, AL 36303-6903 | 2018-05-21 |
| 1174022529 | David W. Cleveland | Social Worker | 101 Medical Dr, Dothan, AL 36303-6903 | 2018-02-12 |
| 1952859506 | Precious Barnes | Nurse Practitioner | 101 Medical Dr, Dothan, AL 36303-6903 | 2016-09-12 |
| 1215305230 | Alena Cherry | Counselor | 101 Medical Dr, Dothan, AL 36303 | 2015-09-08 |
| 1508278136 | Building A Bridge, LLC | Social Worker | 101 Medical Dr, Dothan, AL 36303-6903 | 2014-06-02 |
| 1033547971 | Nicole Lane Swann | Speech-Language Pathologist | 101 Medical Dr, Dothan, AL 36303-6903 | 2013-10-30 |
| 1023454287 | Emrist Anne Mustin | Counselor | 101 Medical Dr, Dothan, AL 36303-6903 | 2013-05-15 |
| 1356785323 | Marion Handal | Counselor | 101 Medical Dr, Dothan, AL 36303-6903 | 2013-04-22 |
| 1023397379 | Mary J Strother | Counselor | 101 Medical Dr, Dothan, AL 36303-6903 | 2011-08-04 |
| 1245521384 | J. C. Mccleod, M.d., Psychiatric, Pllc | Psychiatry & Neurology | 101 Medical Dr, Dothan, AL 36303-6903 | 2011-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| 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 |
|---|---|---|---|---|
| 1245521384 | J. C. Mccleod, M.d., Psychiatric, Pllc | Psychiatry & Neurology | 101 Medical Dr, Dothan, AL 36303-6903 | 2011-04-24 |
| 1336277540 | Dothan Behavioral Medicine Clinic PC | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-03-01 |
| 1154471548 | Nelson Handal | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396184040 | Richard Sean Sinclair | Psychiatry & Neurology | 1015 Montlimar Dr Ste A210, Mobile, AL 36609-1743 | 2013-06-17 |
| 1083976492 | Vinet Health Services LLC | Psychiatry & Neurology | 8154 Highway 59 South, Suite 205, Foley, AL 36535-3868 | 2012-06-12 |
| 1063688216 | Central Alabama Psychiatry, LLC | Psychiatry & Neurology | 2100a Southbridge Pkwy, Suite 540, Birmingham, AL 35209-1370 | 2008-05-07 |
| 1306056965 | Kira Fonbah | Psychiatry & Neurology | 2170 Clearbrook Rd Ste 103, Hoover, AL 35226-1573 | 2007-05-23 |
| 1720105653 | Curtis L.v. Adams | Psychiatry & Neurology | 7310 Martha Dr Se, Huntsville, AL 35802-2414 | 2007-03-24 |
| 1245374743 | Karis Dampier Knight | Psychiatry & Neurology | 402 Johnston St Se, Decatur, AL 35601-3008 | 2007-02-16 |
| 1538200605 | Aparna Vuppala | Psychiatry & Neurology | 7500 Memorial Pkwy Sw Ste 215c, Huntsville, AL 35802-2200 | 2007-02-09 |
| 1083751374 | Adeel Rabbani | Psychiatry & Neurology | 5750 A South Land Dr, Mobile Mental Health Center, Mobile, AL 36693 | 2007-01-30 |
| 1447328133 | Marguerite Meriwether Brown | Psychiatry & Neurology | 115 Johnston St Se, Suite 202, Decatur, AL 35601-2357 | 2006-12-01 |
| 1427124429 | Sherry Lynn Thaggard | Psychiatry & Neurology | 1963 Memorial Parkway, Suite 5, Huntsville, AL 35801 | 2006-11-28 |
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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.