Shanay D Newsom, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

163625 Issued in OH

Practice address

1200 E Home Rd
Springfield, OH 45503-2728

Phone

(937) 522-0962

NPI assigned

Apr 25, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Project, LLC

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1417206954
  NPD (past)
• Cornerstone Project, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1639609548
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1306334347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032728",
            "telephone_number": "937-522-0962",
            "fax_number": "937-688-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032728",
            "telephone_number": "937-522-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "SHANAY",
        "middle_name": "D",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "163625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163625",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Life Hope Recovery Coummunity
• New Life Institute of Mental and Behavioral Health
• Justin Newman, APRN, FNP
• Jerry Newport
• Su-Ann Newport
• Sherri L Newsome
• Kayvon F. Nezhad, D.D.S.
• Rohit K Nezhad, D.D.S.
• Cam Phuong Nguyen
• Maria Nguyen

• Addiction (Substance Use Disorder) Counselor in Springfield, OH
• Providers in Springfield, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.