MS. CHERYLL BLACKSHEAR (NPI# 1790893212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790893212 |
| Entity Type | Individual |
| Full Name | MS. CHERYLL BLACKSHEAR |
| Credential | MS,CAP,SAP,CAPP |
| Practice Address |
10631 N Kendall Dr Suite 115 Miami FL 33176-1568 |
| Practice Telephone | 3052744330 |
| Practice Fax Number | 3052743822 |
| Mailing Telephone | 3052744330 |
| Mailing Fax Number | 3052743822 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
FL | Behavioral Health & Social Service Providers | |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
10631 N KENDALL DR SUITE 115 |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538141809 | Elda Lopez | Psychiatry & Neurology | 10631 N Kendall Dr, Suite 125, Miami, FL 33176-1568 | 2005-11-14 |
| 1477001204 | Elda M Lopez LLC | Psychiatry & Neurology | 10631 N Kendall Dr, Miami, FL 33176-1568 | 2016-09-21 |
| 1982051884 | Pinnacle Family Services of Florida, LLC | Community/Behavioral Health | 10631 N Kendall Dr, Suite 155, Miami, FL 33176-1568 | 2016-05-20 |
| 1437526035 | Pinnacle Family Services of Florida, LLC. | Community/Behavioral Health | 10631 N Kendall Dr, Suite 155, Miami, FL 33176-1568 | 2015-08-31 |
| 1679949929 | Pinnacle Family Services of Florida, LLC. | Community/Behavioral Health | 10631 N Kendall Dr, Suite 155, Miami, FL 33176-1568 | 2015-08-20 |
| 1184043135 | Woolman & Associates | Counselor | 10631 N Kendall Dr, Executive Center Suite 1201, Miami, FL 33176-1568 | 2014-04-07 |
| 1669722344 | Annareya Garcia | Counselor | 10631 N Kendall Dr, Miami, FL 33176-1568 | 2012-09-11 |
| 1275760779 | Palm Psychiatric, Inc | Psychologist | 10631 N Kendall Dr, Suite 125, Miami, FL 33176-1568 | 2009-06-11 |
| 1861507337 | Robin Tassler | Counselor | 10631 N Kendall Dr, Suite 115, Miami, FL 33176-1568 | 2006-08-21 |
| 1336254929 | Professional Health Network Inc | Counselor | 10631 N Kendall Dr, Suite 115, Miami, FL 33176-1568 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739337 | Lidia Alejandra Martinez | Counselor | 17250 Sw 192nd St, Miami, FL 33187-5101 | 2020-08-03 |
| 1437787199 | Taylor J Magri | Counselor | 58 Ne 14th St Apt 2622, Miami, FL 33132-1472 | 2020-03-30 |
| 1841835105 | Sashana Leslie | Counselor | 500 Nw 165th Street Rd # 100, Miami, FL 33169-6306 | 2019-11-11 |
| 1730692252 | 2nd Chance At Life, LLC | Counselor | 10425 Nw 2nd Ct, Miami, FL 33150-1128 | 2017-11-06 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1700327608 | Yusley Perez | Counselor | 14484 Sw 174th St, Miami, FL 33177-6637 | 2017-03-13 |
| 1699121855 | Lizette Marie Lopez | Counselor | 10631 N Kendall Dr Ste 155, Miami, FL 33176-1559 | 2016-05-06 |
| 1932574308 | Sunshine Behavior Center, Inc | Counselor | 9600 Sw 8th St Ste 1, Miami, FL 33174 | 2015-12-09 |
| 1841662764 | Rey Santana | Counselor | 9290 Sunset Dr, Suite # 106, Bldg. #2, Miami, FL 33173-3236 | 2015-10-30 |
| 1508263682 | Gema Yudit Der Rohe-borghese | Counselor | 2965 Sw 16th St, Miami, FL 33145-1143 | 2014-12-04 |
| Find all providers in MIAMI | ||||
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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.