GREGORY M STOCKDALE (NPI# 1780187211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780187211 |
| Entity Type | Individual |
| Full Name | GREGORY M STOCKDALE |
| Practice Address |
62 E Stevens St Newark OH 43055-5969 |
| Practice Telephone | 7403667303 |
| Practice Fax Number | 7403667305 |
| Mailing Telephone | 7403667303 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-17 |
| 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) |
165824 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 621 Broad St Sw Ste 1e, Pataskala, OH 430628119 | 7409276862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922578343 | Gregory David Stockdale | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2018-11-28 |
| Street Address |
62 E STEVENS ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089438 | Licking County Alcoholism Prevention Program | Counselor | 62 E Stevens St, Newark, OH 43055-5969 | 2006-03-29 |
| 1770126831 | Donna Marie Gibson | Counselor | 62 E Stevens St, Newark, OH 43055-5969 | 2019-10-22 |
| 1275174419 | Patricia Ann Lawwell-werner | Social Worker | 62 E Stevens St, Newark, OH 43055-5900 | 2019-09-30 |
| 1932755329 | Amie R Goodin | Counselor | 62 E Stevens St, Newark, OH 43055-5969 | 2019-08-13 |
| 1245709716 | Stephen Andrew Morrison | Counselor | 62 E Stevens St, Newark, OH 43055-5969 | 2018-11-14 |
| 1689182180 | Tonya Burnetta Colosimo | Counselor | 62 E Stevens St, Newark, OH 43055-5969 | 2018-01-18 |
| 1184132862 | Elizabeth Anne Spellman | Counselor | 62 E Stevens St, Newark, OH 43055-5969 | 2018-01-17 |
| 1992221964 | David D. Hottinger | Counselor | 62 E Stevens St, Newark, OH 43055-5969 | 2017-08-21 |
| 1588190425 | Adam S Armstrong | Counselor | 62 E Stevens St, Newark, OH 43055-5969 | 2017-05-11 |
| 1871029710 | Jerri Kelley | Counselor | 62 E Stevens St, Newark, OH 43055-5969 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224133 | Utopia Lavon Session | Counselor | 54 Cheswold Blvd Apt 310, Newark, DE 19713-4160 | 2020-08-04 |
| 1437634474 | Victoria Lynn Garibaldi | Counselor | 37219 Walnut St, Newark, CA 94560-3418 | 2018-09-26 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1134631310 | Mary Desantis | Counselor | 3981 Buffalo Rd, Newark, NY 14513-9230 | 2017-10-28 |
| 1164884631 | Khayyam Bey | Counselor | 82 Somerset St, Newark, NJ 07108-2954 | 2016-03-24 |
| 1679939656 | Temitope Shakirat Coates | Counselor | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2016-01-06 |
| 1144603432 | Kerwin Brisbane | Counselor | 146 Ferry St Ste B, Newark, NJ 07105-2133 | 2015-07-04 |
| 1477942381 | Rosalind Stewart | Counselor | 1423 Capitol Trail, Polly Drummond Plaza, Building 3, Newark, DE 19711-5703 | 2015-01-15 |
| Find all providers in NEWARK | ||||
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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.