DERRICK SKINNER IV (NPI# 1003219387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003219387 |
| Entity Type | Individual |
| Full Name | DERRICK SKINNER IV |
| Practice Address |
441 E Market St Celina OH 45822-1736 |
| Practice Telephone | 4195866628 |
| Mailing Telephone | 4195866628 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992034672 | Derrick Skinner Sr. | Social Worker | 12647 Olive Blvd, Ste 600, Saint Louis, MO 63141-6393 | 2009-12-09 |
| Street Address |
441 E MARKET ST |
| City | CELINA |
| State | OH |
| Zip Code | 45822-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578982740 | Jena Hartings | Speech-Language Pathologist | 441 E Market St, Celina, OH 45822-1736 | 2014-04-15 |
| 1073162194 | Emily Rose Pottkotter | Occupational Therapist | 441 E Market St, Celina, OH 45822-1736 | 2019-09-11 |
| 1598162000 | Jennifer Tuttle | Speech-Language Pathologist | 441 E Market St, Celina, OH 45822-1736 | 2014-11-26 |
| 1295131837 | Latricia Annette Noll | Psychologist | 441 E Market St, Celina, OH 45822-1736 | 2014-11-10 |
| 1396140075 | Kelli Albers | Speech-Language Pathologist | 441 E Market St, Celina, OH 45822-1736 | 2014-10-24 |
| 1023410669 | Denise Dammeyer | Speech-Language Pathologist | 441 E Market St, Celina, OH 45822-1736 | 2014-09-25 |
| 1437559721 | Julia Duncan | Physical Therapist | 441 E Market St, Celina, OH 45822-1736 | 2014-08-25 |
| 1881093144 | Scott Gels | Developmental Therapist | 441 E Market St, Celina, OH 45822-1736 | 2014-08-22 |
| 1588063903 | Sarah Harner | Occupational Therapist | 441 E Market St, Celina, OH 45822-1736 | 2014-08-21 |
| 1245639897 | Lauren Holthaus | Developmental Therapist | 441 E Market St, Celina, OH 45822-1736 | 2014-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974014 | Emily Marie Metz | Speech-Language Pathologist | 715 E Wayne St, Celina, OH 45822 | 2017-07-14 |
| 1184161069 | Lyndie Brown | Speech-Language Pathologist | 903 East Wayne Street, Celina, OH 45822 | 2017-01-30 |
| 1225582752 | Momentum Counseling and Consultation, LLC | Social Worker | 427 E Market St, Celina, OH 45822 | 2016-08-13 |
| 1821497546 | Mindy Muhlenkamp | Occupational Therapist | 441 East Market Street, Celina, OH 45822 | 2014-08-19 |
| 1609136951 | Aaron D. Kuhn | Marriage & Family Therapist | 316 W. Market St, Celina, OH 45822 | 2012-05-21 |
| 1740436252 | Luis L. Perez | Family Medicine | 801 Pro Dr Ste D1, Celina, OH 45822 | 2008-08-15 |
| 1356538664 | Assisted Living Concepts Inc | Assisted Living Facility | 1506 Meadowview Drive, Celena, OH 45822 | 2007-10-01 |
| 1336369800 | Mercer County Board of Mrdd | Case Management | 4980 Mud Pike, Celina, OH 45822 | 2007-04-26 |
| 1720101371 | Mercer Residential Services Inc. | Supports Brokerage | 420 Sugar St, Celina, OH 45822 | 2007-04-09 |
| 1831236264 | Kristina M Goffena | Massage Therapist | 6673 Coldwater Beach Rd, Celina, OH 45822 | 2007-02-01 |
| Find all providers in zip 45822 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295131837 | Latricia Annette Noll | Psychologist | 441 E Market St, Celina, OH 45822-1736 | 2014-11-10 |
| 1922402148 | Elizabeth Ann Frierott | Psychologist | 585 E Livingston St, Celina, OH 45822-1742 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220982 | Christopher Enz | Psychologist | 914 Mohawk Dr, Mc Dermott, OH 45652-9000 | 2020-09-17 |
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1275145708 | Sharla Nichols Fasko | Psychologist | 7238 Pilliod Rd, Holland, OH 43528-9572 | 2020-08-17 |
| 1740806801 | Danita M Hamlin | Psychologist | 61 State, Gallipolis, OH 45631-1185 | 2020-06-24 |
| 1508481508 | Sharmayne Sellers | Psychologist | 2654 E 130th St, Cleveland, OH 44120-1452 | 2020-06-15 |
| 1982226833 | Karen Lynn Heichel | Psychologist | 1684 Medina Rd, Medina, OH 44256-9314 | 2020-05-14 |
| 1780205807 | Kera L Donovan | Psychologist | 9 Cherry Dr Nw, North Canton, OH 44720-5302 | 2020-04-29 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1093356529 | Stacie Baker Corder | Psychologist | 11701 W Lake Rd, Vermilion, OH 44089-3029 | 2019-10-06 |
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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.