DR. J. DANIEL A. BRYNOLF (NPI# 1851571889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851571889 |
| Entity Type | Individual |
| Full Name | DR. J. DANIEL A. BRYNOLF |
| Credential | PSY.D. |
| Practice Address |
2611 Wayne Ave Dayton OH 45420-1833 |
| Mailing Address |
3095 Kettering Boulevard Dayton OH 45439-1983 |
| Practice Telephone | 9372580440 |
| Mailing Telephone | 9372938300 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2009-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6511 | OH | Behavioral Health & Social Service Providers |
| Street Address |
2611 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45420-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750350658 | State of Ohio Department of Mental Health | Case Management | 2611 Wayne Ave, Bldg #66, Dayton, OH 45420-1833 | 2006-03-15 |
| 1053926246 | Nikkol Michelle Ferguson | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-09-14 |
| 1457963878 | Jessica Lynn Phillips | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-18 |
| 1417569005 | Michael Baker | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-17 |
| 1629611421 | Alexus Sanders | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-10-24 |
| 1144875386 | Kathleen Margaret Thompson | Registered Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-08-05 |
| 1205498433 | Terry Shawn Wilson | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-09 |
| 1528629789 | Quinton A Osborne | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-06-27 |
| 1457827677 | Kellie Jean Morrissey | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-10-15 |
| 1083196018 | Charles Robert Wick | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824547 | Erica Brooke Harris | Chore Provider | 2526 Revere Ave, Apt 10, Dayton, OH 45420 | 2020-03-03 |
| 1932626611 | Christine Catherine Kukla | Counselor | 3280 Woodman Drive, Kettering, OH 45420 | 2017-08-24 |
| 1528502531 | Melanie Renee Gecili | Social Worker | 12 Earhart Place, Dayton, OH 45420 | 2016-12-09 |
| 1629433073 | Morgan Pridemore | Counselor | 2754 S Smithville Rd, Dayton, OH 45420 | 2015-12-29 |
| 1265807515 | Garry Brown | Counselor | 2611 Wayne Ave Bldg 61, Dayton, OH 45420 | 2015-12-10 |
| 1285046839 | Gina Katherine Howenstine | Registered Nurse | 3000 Glengarry Dr., Kettering, OH 45420 | 2014-05-29 |
| 1205260007 | Jo Ellen Perbix Kuzila | Speech-Language Pathologist | 1968-f Woodman Center Drive, Dayton, OH 45420 | 2013-08-28 |
| 1245511575 | Honey Nicole Strong | Licensed Practical Nurse | 1036 Mendota Ct, Kettering, OH 45420 | 2011-08-31 |
| 1043358096 | Cleanne Cass | Family Medicine | 324 Wilmington Avenue, Dayton, OH 45420 | 2007-02-02 |
| 1104981919 | Timothy Harold Farney | Dentist | 2297 Patterson Road, Kettering, OH 45420 | 2006-12-22 |
| Find all providers in zip 45420 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659858157 | Karen A Evans Phd LLC | Psychologist | 7061 Corporate Way Ste 110, Dayton, OH 45459-4244 | 2018-07-26 |
| 1891240800 | Michelle Vaughan | Psychologist | 9 N Edwin C Moses, Dayton, OH 45435-8470 | 2016-08-19 |
| 1912376930 | Cheryl K. Fender | Psychologist | 2251 Timber Ln, Dayton, OH 45414-4532 | 2015-09-21 |
| 1053717157 | Ramesh Shah | Psychologist | 9 Bloomfield Ct, Dayton, NJ 08810-1620 | 2014-11-17 |
| 1427468321 | Kaitlyn A. Lang | Psychologist | 200 S Keowee St, Dayton, OH 45402-2242 | 2014-04-30 |
| 1942628946 | Mickala Frantz | Psychologist | 2821 Winburn Ave, Dayton, OH 45420-2259 | 2014-04-07 |
| 1417206954 | Cornerstone Project, LLC | Psychologist | 4124 Linden Ave, Suite 100, Dayton, OH 45432-3018 | 2012-08-30 |
| 1083979769 | Carol Ann Fiunk | Psychologist | 8 Sunset Ct, Dayton, NJ 08810-1622 | 2012-07-09 |
| 1114182037 | Maria Noce | Psychologist | 4100 W 3rd St # 116m, Dayton, OH 45428-9000 | 2008-07-21 |
| 1124224894 | Shannon T. Boyer | Psychologist | 106 S Cleveland St, Dayton, TX 77535 | 2007-06-21 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on DR. J. DANIEL A. BRYNOLF.
| 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.