Sherryl Lynn McCorkle, CDCA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

130203 Issued in OH

Practice address

43 E Babbitt St
Dayton, OH 45405-4903

Phone

(937) 253-1680

NPI assigned

Oct 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Nova Behavioral Health, Inc

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1548217748
  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1336780360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 WOLF RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454162228",
            "telephone_number": "937-718-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E BABBITT ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054903",
            "telephone_number": "937-253-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "SHERRYL",
        "middle_name": "LYNN",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "130203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Cheyenne McConnaughey, LPN
• Carla C. McConnell, L.I.C.D.C., L.S.W.
• Stephen C McConnell, PHD
• Barry S McCorkle, MD
• Michael S McCorkle, CDCA
• Anita Louise McCormick, RN
• Kiersten McCormick
• Stacy McCormick
• Toshia McCormick
• Norma McCorry, LPN

• Community/Behavioral Health Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.