JOHN SHEALY (NPI# 1508209834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508209834 |
| Entity Type | Individual |
| Full Name | JOHN SHEALY |
| Credential | LISW, LICDC-CS |
| Practice Address |
118 Stover Dr Delaware OH 43015-8601 |
| Practice Telephone | 7403696811 |
| Practice Fax Number | 7403638742 |
| Mailing Telephone | 7403696811 |
| Mailing Fax Number | 7403638742 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
I0018420SUPV | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
I0018420SUPV | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2901088 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710936711 | John Steven Shealy | Psychologist | 13402-d Thomasville Cir, Tampa, FL 33617-9528 | 2006-05-08 |
| 1871834556 | John Andrew Shealy | Hearing Instrument Specialist | 1101 Hudson Ln, Monroe, LA 71201-6045 | 2013-03-06 |
| Street Address |
118 STOVER DR |
| City | DELAWARE |
| State | OH |
| Zip Code | 43015-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508976705 | Recovery & Prevention Resources of Delaware and Morrow Counties, Inc. | Clinic/Center | 118 Stover Dr, Delaware, OH 43015-8601 | 2006-08-30 |
| 1376187427 | Amy Everhart | Registered Nurse | 118 Stover Dr, Delaware, OH 43015-8601 | 2019-11-01 |
| 1932615887 | Melinda Ruth Dyer | Counselor | 118 Stover Dr, Delaware, OH 43015-8601 | 2017-12-14 |
| 1548709389 | Recovery & Prevention Resources of Delaware and Morrow Counties | Community/Behavioral Health | 118 Stover Dr, Delaware, OH 43015-8601 | 2017-02-13 |
| 1821536020 | Keri Stillion | Counselor | 118 Stover Dr, Delaware, OH 43015-8601 | 2017-02-08 |
| 1508304734 | Lisa Bushman | Counselor | 118 Stover Dr, Delaware, OH 43015-8601 | 2017-02-08 |
| 1326586660 | Patricia Davis | Counselor | 118 Stover Dr, Recovery & Prevention Resources, Delaware, OH 43015-8601 | 2017-02-07 |
| 1609314954 | Courteney Clemons | Social Worker | 118 Stover Dr, Delaware, OH 43015-8601 | 2017-02-07 |
| 1124498472 | Tony Williams | Counselor | 118 Stover Dr, Delaware, OH 43015-8601 | 2015-09-30 |
| 1780027029 | Ronald Eckert | Counselor | 118 Stover Dr, Delaware, OH 43015-8601 | 2013-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414523 | Tranquility Health Care LLC | Hospice Care, Community Based | 1949 West Central Ave, Suite C, Delaware, OH 43015 | 2019-12-11 |
| 1962056416 | Kelsey Mae Mcpherson | Occupational Therapist | 494 W Central Ave Optional, Delaware, OH 43015 | 2019-08-01 |
| 1821653791 | Keyana Kelley | Optometrist | 1260 Sunbury Road, Suite B, Delaware, OH 43015 | 2019-05-07 |
| 1871009498 | Hagar Ackah-andoh | Registered Nurse | 181 Mcnamara Loop, Lewis Center, OH 43015 | 2017-12-19 |
| 1144749227 | Huzianatu Bundu | Registered Nurse | 130 Crystal Petal Drive, Delaware, OH 43015 | 2017-09-11 |
| 1093232563 | Stephanie Chappel | Occupational Therapist | 746 State Route 37, Delaware, OH 43015 | 2017-08-25 |
| 1083154066 | Angela Vinokur | Counselor | 250 S. Henry St., Delaware, OH 43015 | 2017-02-24 |
| 1437697752 | Dorita Patricia Thompson | Nurse's Aide | 88 N Sandusky Street, Delaware, OH 43015 | 2017-02-07 |
| 1750832762 | Jenni Rebecca Longo | Counselor | 88 North Sandusky St, Dlaware, OH 43015 | 2016-10-14 |
| 1851744403 | Samuel Edward Balla | Social Worker | 88 N. Sandusky St, Delaware, OH 43015 | 2016-07-19 |
| Find all providers in zip 43015 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578735 | Julie Bonzon Nyangoro | Counselor | 88 N Sandusky St, Delaware, OH 43015-1756 | 2020-02-04 |
| 1184264301 | Jessica Nicole Kemp | Counselor | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-01-15 |
| 1407414899 | Alex Ellis | Counselor | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2019-05-31 |
| 1790254258 | Callie Bramel | Counselor | 88 N Sandusky St, Delaware, OH 43015-1756 | 2018-11-14 |
| 1558865113 | Kelly Michelle Melvin | Counselor | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2018-03-20 |
| 1457862781 | William Edward Bumgardner | Counselor | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2017-10-13 |
| 1548781974 | Nicholas Dante Notturniano | Counselor | 88 N Sandusky St, Delaware, OH 43015-1756 | 2017-07-06 |
| 1821536020 | Keri Stillion | Counselor | 118 Stover Dr, Delaware, OH 43015-8601 | 2017-02-08 |
| 1508304734 | Lisa Bushman | Counselor | 118 Stover Dr, Delaware, OH 43015-8601 | 2017-02-08 |
| 1326586660 | Patricia Davis | Counselor | 118 Stover Dr, Recovery & Prevention Resources, Delaware, OH 43015-8601 | 2017-02-07 |
| Find all providers in DELAWARE | ||||
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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.