CHELSEY M WYLDE (NPI# 1053717694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053717694 |
| Entity Type | Individual |
| Full Name | CHELSEY M WYLDE |
| Other Name | CHELSEY MORRISON |
| Credential | PSY. D. |
| Practice Address |
2863 Highway 45 Byp Jackson TN 38305-3618 |
| Mailing Address |
Po Box 400 Jackson TN 38302-0400 |
| Practice Telephone | 7316641375 |
| Practice Fax Number | 7316608370 |
| Mailing Telephone | 7314255752 |
| Mailing Fax Number | 7314225743 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
13402 | TN | Behavioral Health & Social Service Providers |
| Street Address |
2863 HIGHWAY 45 BYP |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629386 | Jackson Clinic Pa | Anesthesiology | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2005-09-14 |
| 1225644073 | Brandon Bailey | Social Worker | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2020-09-17 |
| 1457965055 | Lauren Klyce Marbury | Nurse Practitioner | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2020-09-02 |
| 1740813997 | Devin R Beck | Nurse Practitioner | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2020-02-17 |
| 1477190023 | Hannah S Shaw | Nurse Practitioner | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2019-12-03 |
| 1013550839 | Anna Kristen Whitaker Younger | Nurse Practitioner | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2019-10-24 |
| 1770087140 | Judy L Davis | Health Educator | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2018-03-21 |
| 1679077911 | Heather R Dieckmeyer | Health Educator | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2018-03-21 |
| 1568961126 | Jennifer Byrd | Pharmacist | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2018-02-08 |
| 1265962120 | Tabitha R Woodard | Nurse Practitioner | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972840379 | Jbg Consulting | Psychologist | 6855 Squaw Creek Road, Jackson, WY 83001 | 2013-01-07 |
| 1184724569 | James B Austin | Psychologist | 1855 Crane Ridge Drive, Suite A, Jackson, MS 39216-4944 | 2006-09-25 |
| 1093818064 | John E Fontaine Iv | Psychologist | 1855 Crane Ridge Dr Ste A, Jackson, MS 39216-4944 | 2006-09-06 |
| 1386285765 | Danny J Olmi | Psychologist | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-10-07 |
| 1376094532 | Jackson Family First | Psychologist | 125 Cedarwood Dr, Jackson, MS 39212-2208 | 2016-10-21 |
| 1184063505 | Diana J Whalen | Psychologist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-06-19 |
| 1942646161 | Melora Wiley | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2013-05-14 |
| 1316290067 | Andres G Viana | Psychologist | 2500 N State St, Dept of Psychiatry, Jackson, MS 39216-4500 | 2012-10-18 |
| 1356625081 | Crystal S. Lim | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2011-09-29 |
| 1619907771 | Dorothy Scattone | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-04 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.