MS. DEBORAH R MCMULLEN (NPI# 1770568701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770568701 |
Entity Type | Individual |
Full Name | MS. DEBORAH R MCMULLEN |
Credential | PCC-SC, LICDC, LSW |
Practice Address |
1320 Woodman Dr Ste 200 Dayton OH 45432-3497 |
Mailing Address |
5727 Rowena Dr Dayton OH 45415-2445 |
Practice Telephone | 9372231781 |
Practice Fax Number | 9378530096 |
Mailing Telephone | 9373614834 |
Enumeration Date | 2005-12-13 |
Last Update Date | 2008-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
021106 | OH | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
E 0002479 | OH | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
S 0004990 | OH | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2272231 | 05 |
Street Address |
1320 WOODMAN DR STE 200 |
City | DAYTON |
State | OH |
Zip Code | 45432-3497 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598746265 | Advanced Therapeutic Services Inc | Clinic/Center | 1320 Woodman Dr, Ste 200, Dayton, OH 45432 | 2005-11-09 |
1750938130 | Communikare Behavior Health Services LLC | Clinic/Center | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2019-08-21 |
1003463456 | Communikare Behavior Health Services LLC | Clinic/Center | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2019-08-21 |
1124584636 | Communikare Behavior Health Services LLC | Counselor | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2019-02-20 |
1245738541 | Woodman Primary Care LLC | Preventive Medicine | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2018-02-01 |
1992210363 | Margaret H Michal | Social Worker | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2017-12-07 |
1831573427 | Jana Young | Social Worker | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2015-07-14 |
1346582608 | Woodman Primary Care LLC | Internal Medicine | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2013-03-25 |
1285985937 | Csw Behavioral Health LLC | Psychiatry & Neurology | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2012-09-20 |
1689969693 | Clayton Donovan Grisby | Social Worker | 1320 Woodman Dr, Dayton, OH 45432-3497 | 2011-06-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
Find all providers in zip 45432 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891302188 | Five Rivers Health Centers | Counselor | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-09-30 |
1316571748 | Kristy Sue Dillon | Counselor | 8801 N Main St, Dayton, OH 45415-1385 | 2020-02-25 |
1952892135 | New Hope New Liberty Counseling, Pllc | Counselor | 410 E Waring St, Dayton, TX 77535-1833 | 2018-05-23 |
1427588060 | Daniel Wick | Counselor | 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 | 2017-06-15 |
1003341744 | Chuckeia Folley | Counselor | 508 Heather Dr Apt 3, 3, Dayton, OH 45405-1731 | 2017-05-01 |
1205374055 | Melissa Deaton Cook | Counselor | Suite D 206 Main Street, Dayton, VA 22821-0910 | 2017-02-01 |
1851837041 | Jessica White | Counselor | 727 Grafton Ave, Dayton, OH 45406-5256 | 2017-01-11 |
1093186561 | Scott Campbell | Counselor | 11 W Monument Ave, Ste 310, Dayton, OH 45402-1274 | 2015-10-09 |
1770959751 | Debbie Lyn Gunnels | Counselor | 327 Misty Oaks Ct, Dayton, OH 45415-1370 | 2015-08-13 |
1750775110 | Nicole C Duff | Counselor | Six Patterson Blvd, Sbhi- Cam, Dayton, OH 45402 | 2015-03-24 |
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.