MR. CLYDE GRAY (NPI# 1720576291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720576291 |
| Entity Type | Individual |
| Full Name | MR. CLYDE GRAY |
| Practice Address |
621 S Erie Hwy Hamilton OH 45011-4315 |
| Practice Telephone | 5132994029 |
| Mailing Telephone | 5132994029 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
OH | Behavioral Health & Social Service Providers |
| Street Address |
621 S ERIE HWY |
| City | HAMILTON |
| State | OH |
| Zip Code | 45011-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760593396 | St. Aloysius Orphanage | Clinic/Center | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2006-08-31 |
| 1124674809 | William Ray | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-08-17 |
| 1134684038 | Daniel L Kibler | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-02-05 |
| 1245795145 | Joseph Alan Harris | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-02-05 |
| 1295290195 | Meaghan Malloy | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-02-05 |
| 1912462995 | Alonzo Wells | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-02-04 |
| 1881164069 | Lisa Shalloe | Case Manager/Care Coordinator | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2018-11-29 |
| 1982190278 | Stewart Keith Barnes | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2018-07-10 |
| 1093200776 | Jasmine Bowie | Case Manager/Care Coordinator | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2018-06-26 |
| 1972095263 | Courtnie Ann Bruning | Community/Behavioral Health | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2018-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356788913 | Jesse Reece Mitchell | Counselor | 149 Academy Dr, Hamilton, AL 35570-3015 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143180 | Phillip Mendoza Jr | Counselor | 195 Edward Ave, Akron, OH 44310-1957 | 2020-10-30 |
| 1174121214 | Andrew Clark Oswalt | Counselor | 45 Oakland Park Ave, Columbus, OH 43214-4119 | 2020-10-12 |
| 1477167674 | Jessica A Buttari | Counselor | 9980 Knollwood Ridge Dr, Mentor, OH 44060-6517 | 2020-09-04 |
| 1376151324 | Lurenna Obey | Counselor | 3499 Hiawatha St, Columbus, OH 43224-3349 | 2020-07-15 |
| 1285260729 | Beverly Crump | Counselor | 4889 Sinclair Rd Ste 215, Columbus, OH 43229-5434 | 2020-03-17 |
| 1225685506 | David Adams | Counselor | 3704 Walton Ave, Cleveland, OH 44113-4917 | 2019-08-21 |
| 1174081095 | John Benjamin David Tatum | Counselor | 99 Dawson Avenue, Back Door @ Top of W/c Ramp, Mansfield, OH 44906-3201 | 2019-03-10 |
| 1295225894 | Rhonda Beal | Counselor | 840 Suire Ave, Cincinnati, OH 45205-1639 | 2018-05-18 |
| 1972017697 | Melvin Dennis Trent Sr. | Counselor | 2007 S Schenley Ave, Youngstown, OH 44511-1262 | 2017-11-17 |
| 1083126593 | Dean Christopher Kavouras | Counselor | 5948 W 24th St, Cleveland, OH 44134-3003 | 2017-10-25 |
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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.