NPIMap

Organization Active NPI

Cordell Associates, LLC

  • Clinical Psychologist
  • Dayton, OH
National Provider Identifier
1780735597
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5179 Issued in OH
Legal business name
CORDELL ASSOCIATES, LLC
Practice address
6500 Poe Ave Ste 400
Dayton, OH 45414-2527
Phone
(937) 276-3356
Fax
(937) 276-9514
NPI assigned
Jan 16, 2007
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Marcy J Gunn, PSYDNPI 1881743177
Title
Owner/Director
Phone
(937) 276-3356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5179 OH Primary

Addresses

Primary practice location

6500 Poe Ave Ste 400
Dayton, OH 45414-2527

Mailing address

6500 Poe Ave Ste 400
Dayton, OH 45414-2527
Phone (937) 276-3356

Other identifiers 1

IdentifierTypeStateIssuer
9370027MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822000208 OH Part B Supplier - Clinic/Group Practice 8325130453 Receives reassigned benefits from 9 practitioners
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

6500 Poe Ave
Ste 400
Dayton, OH 45414
Phone (937) 276-3356

6520 Poe Ave
Ste 200
Dayton, OH 45414
Phone (937) 276-3356

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1780735597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 POE AVE STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142527",
            "telephone_number": "937-276-3356",
            "fax_number": "937-276-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 POE AVE STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142527",
            "telephone_number": "937-276-3356",
            "fax_number": "937-276-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDELL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "937-276-3356",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9370027",
            "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 Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.