DR. MICKY M SHARMA (NPI# 1679574586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679574586 |
| Entity Type | Individual |
| Full Name | DR. MICKY M SHARMA |
| Credential | PSYD |
| Practice Address |
3640 Colonel Glenn Hwy Fawc Dayton OH 45435-0001 |
| Practice Telephone | 9377753407 |
| Practice Fax Number | 9377753421 |
| Mailing Telephone | 9377753407 |
| Mailing Fax Number | 9377753421 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5626 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3640 COLONEL GLENN HWY FAWC |
| City | DAYTON |
| State | OH |
| Zip Code | 45435-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576246 | Kayla Blanton | Home Health | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-10-24 |
| 1033718432 | Lily Taplin | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-10-19 |
| 1326655259 | Katelyn Brown | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-24 |
| 1568078145 | Madeline Grace Skultety | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-19 |
| 1003422817 | Marguerite Mcdonnell | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-17 |
| 1295340412 | Jonah Buczewski | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-14 |
| 1861007551 | Lilliona Rogers | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-10 |
| 1013522606 | Timea Tozser | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-10 |
| 1194330035 | Robert Nathan Ilagan | Psychologist | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2020-09-08 |
| 1104430032 | Ashley Victoria Stewart | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy, Dayton, OH 45435-0002 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706940 | Anthony Kelemen | Student in an Organized Health Care Education/Training Program | Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2019-12-04 |
| 1801444955 | Ashley Elizabeth Murphy | Student in an Organized Health Care Education/Training Program | Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 | 2019-09-02 |
| 1659854370 | Rachel Heckaman | Student in an Organized Health Care Education/Training Program | Sopp Wright State Univerity 117 Health Science Bldg., 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-09-09 |
| 1508374547 | Somer Leanne Yoho | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Building, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2018-01-11 |
| 1689180622 | Jerie Johanna Bolin | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2017-12-28 |
| 1578079810 | Heather Ann Felerski | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg., 3640 Colonel Glenn Hwy., Dayton, OH 45435 | 2017-12-22 |
| 1154771392 | Abigail Ngayan | Counselor | 3640 Colonel Glenn Hwy., 053 Student Union, Dayton, OH 45435 | 2016-06-19 |
| 1144512799 | Adam Horseman | Specialist/Technologist | 3640 Col. Glenn Hwy., Room 356 Nutter Center, Dayton, OH 45435 | 2011-05-13 |
| 1790999589 | Luis Tony Ortiz | Specialist/Technologist | 3640 Colonel Glen Hwy, Room 303 Nutter Center, Dayton, OH 45435 | 2007-05-10 |
| 1164037446 | Jaden D Johnson | Student in an Organized Health Care Education/Training Program | 3640 Colonel Glenn Hwy., 117 Health Sciences Bldg, Dayton, OH 45435 | 2020-09-13 |
| Find all providers in zip 45435 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691074 | Rita A. Carlson, Psy.d., Pllc | Psychologist | 191 Shady Grove Ln, Dayton, NV 89403-6364 | 2020-08-26 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1629379920 | Allison L Fernander | Psychologist | 9 North Edwin C Moses Blvd, Dayton, OH 45402-8470 | 2010-11-03 |
| 1548490667 | Rahema C Rodgers | Psychologist | 5045 N Main St Ste 223, Dayton, OH 45415-3637 | 2009-07-23 |
| 1710151295 | Cynthia Burton Levy | Psychologist | 17 Irongate Park Dr, Dayton, OH 45459-4616 | 2008-04-16 |
| 1033308119 | Alice L Claggett | Psychologist | 1159 Lyons Rd, Building E, Dayton, OH 45458-1857 | 2007-10-15 |
| 1740483031 | Roger G Schmidt | Psychologist | 88th Medical Group/mdos, 4881 Sugar Maple Dr., Dayton, OH 45433-5529 | 2007-06-06 |
| 1982826590 | Kathleen Ann Malloy | Psychologist | Ellis Institute, 9 N. Edwin C. Moses Blvd., Dayton, OH 45402 | 2007-05-03 |
| 1669692281 | James R. P. Fraser | Psychologist | 6550 Garber Rd, Dayton, OH 45415-2000 | 2007-04-26 |
| 1467675637 | David Nathan Zahm | Psychologist | 13612 Voland Ct, Dayton, MD 21036-1102 | 2007-04-10 |
| Find all providers in DAYTON | ||||
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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.