MR. GEROME CORNELL SURRELL III
NPI 1790170827
Counselor - Mental Health in Stockton, CA

Active since April 06, 2015
440 N EL DORADO ST, STOCKTON, CA 95202(209) 888-4519 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gerome Cornell Surrell Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GEROME CORNELL SURRELL III (NPI 1790170827) is an individual mental health provider in Stockton, California and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1790170827
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GEROME CORNELL SURRELL III
Location Address440 N EL DORADO STStockton, CA 95202-1950
Mailing Address3500 San Clemente Ave Apt 154Modesto, CA 95356-2735 · (209) 597-6796
Sole ProprietorNo
Enumeration DateApril 6, 2015
NPI 1790170827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
440 N EL DORADO ST, Stockton, CA 95202

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
440 N EL DORADO ST
STOCKTON, CA 95202
Community/Behavioral Health
440 N EL DORADO ST
STOCKTON, CA 95202
Case Manager/Care Coordinator
440 N EL DORADO ST
STOCKTON, CA 95202
Marriage & Family Therapist
440 N EL DORADO ST
STOCKTON, CA 95202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerome Surrell's NPI number?

The NPI number for Gerome Surrell is 1790170827. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Gerome Surrell located?

Gerome Surrell practices at 440 N El Dorado St, Stockton, CA 95202. The listed phone number is (209) 888-4519.

What is Gerome Surrell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Gerome Surrell was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.