Active NPI
Brandy M Dale, CPRS, ST-C, STNA
- Case Manager/Care Coordinator
- Dayton, OH
National Provider Identifier
1649599739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 573 Majestic Dr
Dayton, OH 45417-8925 - Phone
- (513) 279-8222
- NPI assigned
- May 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | OH | ||
| Peer Specialist | 175T00000X | 0001415 | OH | |
| Technician | 374700000X | OH | ||
| Personal Care Attendant | 3747P1801X | OH | ||
| Home Health Aide | 374U00000X | OH | ||
| Nurse's Aide | 376K00000X | 400865580209 | OH | |
| Case Manager/Care Coordinator | 171M00000X | OH | Primary |
Addresses
Primary practice location
573 Majestic Dr
Dayton, OH 45417-8925
Mailing address
8044 Montgomery Rd Ste 120
Cincinnati, OH 45236-2919
Phone (513) 607-5128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001415 | OH | MD | Peer Specialist |
| 400865580209 | OH | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshy Healing Pathways and Resources for Youth | Current | Accepting new patients | |
| Radley Health Inc | Current | Accepting new patients |
Locations
8044 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 600-0694
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1801740584
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cincinnati, OH
- NPI 1568260479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1649599739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8044 MONTGOMERY RD STE 120",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362919",
"telephone_number": "513-607-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 MAJESTIC DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454178925",
"telephone_number": "513-279-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "BRANDY",
"middle_name": "M",
"credential": "CPRS, ST-C, STNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-28",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "0001415",
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "400865580209",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.