SHELLEY MCCOY (NPI# 1396392932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396392932 |
| Entity Type | Individual |
| Full Name | SHELLEY MCCOY |
| Practice Address |
631 S Orchard Ave Ukiah CA 95482-5011 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7074672010 |
| Mailing Telephone | 7074672010 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
121336 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 225C00000X | Rehabilitation Counselor | 121336 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 121336 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497254833 | Shelley Jamona Mccoy | Early Intervention Provider Agency | 7000 Austin St, Forest Hills, NY 11375-1022 | 2018-02-12 |
| 1235415043 | Shelley E Mccoy | Pharmacist | 2500 Grant St, Gary, IN 46404-3508 | 2011-10-25 |
| 1912081605 | Shelley J. Mccoy | Family Medicine | 2 W 42nd Street, Suite 2800, Scottsbluff, NE 69361-4660 | 2006-10-25 |
| Street Address |
631 S ORCHARD AVE |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255478442 | Harvey Baumoel | Case Manager/Care Coordinator | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2007-01-30 |
| 1952911554 | Glenn Limosnero | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-08-07 |
| 1134739766 | Miles Ruttinger | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-08-07 |
| 1972135523 | Randy Owen | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-02-11 |
| 1134787344 | Dusty Stokes | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2019-06-03 |
| 1801367727 | Chelsea Delvecchio | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2018-12-17 |
| 1295268217 | Andre Epstein | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2017-04-06 |
| 1881043776 | Alissa L. Davis-ku | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2016-06-10 |
| 1386004679 | Jeremy Livingston | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2016-02-29 |
| 1992132757 | Teresa Love Wilson | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2013-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669955506 | Katerina Smallcomb | Counselor | 169 Mason St, Ukiah, CA 95482-4482 | 2018-09-06 |
| 1316460900 | Ksenia Zhilyaeva | Counselor | 775 S State St Ste 107, Ukiah, CA 95482-5815 | 2017-07-25 |
| 1457702292 | Felice Suzanne Hensley | Counselor | 775 S State St, Suite 107, Ukiah, CA 95482-5815 | 2016-06-23 |
| 1134508740 | Suzanne Yonts-baughman | Counselor | 631 S. Orchard Ave., Ukiah, CA 95482-3312 | 2015-05-28 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1578986386 | Yvette Eileen Stemets | Counselor | 468 Beltrami Dr, Ukiah, CA 95482-8746 | 2014-01-30 |
| 1154750628 | Kimberlee Suzanne Golding | Counselor | 376 E Gobbi St Ste B, Ukiah, CA 95482-5511 | 2013-11-05 |
| 1962537654 | Amy Aikman | Counselor | 410 Jones St Ste C1, Ukiah, CA 95482-5491 | 2007-02-22 |
| 1821137175 | Tabitha I Kuehne | Counselor | 350 E. Gobbi St, Ukiah, CA 95482 | 2007-02-05 |
| Find all providers in UKIAH | ||||
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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.