CHERYLYN ANN GRANGER (NPI# 1154331650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154331650 |
| Entity Type | Individual |
| Full Name | CHERYLYN ANN GRANGER |
| Credential | CASAC |
| Practice Address |
31 Thurber Dr Waterloo NY 13165-1600 |
| Practice Telephone | 3155391985 |
| Practice Fax Number | 3155394393 |
| Mailing Telephone | 3155391985 |
| Mailing Fax Number | 3155394393 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3615 | NY | Behavioral Health & Social Service Providers |
| Street Address |
31 THURBER DR |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295799070 | Seneca County Addictions Program | Clinic/Center | 31 Thurber Dr, Waterloo, NY 13165-1600 | 2006-04-17 |
| 1184242539 | Meghan Mccormack | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-07-13 |
| 1023641008 | Eugene Storey Jr. | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-02-18 |
| 1477193522 | Kimberly Ann Zajac | Counselor | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-01-07 |
| 1306482054 | Megan Manaco | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-11-18 |
| 1164071882 | Amanda Marie Johnston-porter | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-09-05 |
| 1174182182 | Roberta Yvonne Lindner-ciopyk | Occupational Therapist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-06-12 |
| 1053970525 | Cynthia Eileen Meckley | Registered Nurse | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-06-10 |
| 1508328394 | Lynn Mary Rotz | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-04-02 |
| 1083178214 | Robert Shields | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1184160152 | Danielle Sharar | Counselor | 607 Sycamore St, Ste. 300, Waterloo, IA 50703-4736 | 2017-01-13 |
| 1114310356 | Amy Holt | Counselor | 607 Sycamore St Ste 300, Waterloo, IA 50703-4799 | 2015-03-12 |
| 1841612264 | Sarah Panther | Counselor | 1237 Eleanor Dr, Waterloo, IA 50701-3420 | 2014-01-21 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1053678425 | Amanda Schara | Counselor | 3366 University Ave, Waterloo, IA 50701-2006 | 2012-04-23 |
| 1730366949 | Tammy Lynn Orlopp | Counselor | 3776 Yost Rd, Waterloo, NY 13165-8445 | 2008-01-30 |
| 1316001845 | Holly A Helm | Counselor | 1727 University Ave, Waterloo, IA 50701-2422 | 2006-12-20 |
| 1689734451 | Pathways Behavioral Services Inc | Counselor | 3362 University Ave, Waterloo, IA 50701-2006 | 2006-12-11 |
| Find all providers in WATERLOO | ||||
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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.