EDWARD GEORGE SHELLEBY (NPI# 1124186267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124186267 |
| Entity Type | Individual |
| Full Name | EDWARD GEORGE SHELLEBY |
| Credential | PH.D. |
| Practice Address |
115 Elm Ave Wyoming OH 45215-4325 |
| Practice Telephone | 5135592066 |
| Practice Fax Number | 5135592009 |
| Mailing Telephone | 5135592066 |
| Mailing Fax Number | 5135592009 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2897 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0410380 | 05 |
| Street Address |
115 ELM AVE |
| City | WYOMING |
| State | OH |
| Zip Code | 45215-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043744899 | A New Beginning Community Care, LLC | Home Health | 1 N. Commerce Park Dr, Suite 229, Cincinnati, OH 45215 | 2017-04-19 |
| 1407399777 | Youlanda Allen | Nurse's Aide | 2814 Raleigh Lane, Cincinnati, OH 45215 | 2016-11-18 |
| 1609273804 | Sharon Louise Antunes | Speech-Language Pathologist | 1720 Glendale Milford Rd., St. Rita School for The Deaf, Cincinnati, OH 45215 | 2014-12-03 |
| 1639574510 | Karen F. Rosen | Speech-Language Pathologist | 1720 Glendale - Milford Rd., Cincinnati, OH 45215 | 2014-11-04 |
| 1154633931 | Aila Mella | Physical Therapist | 743 Barney Ave, Wyoming, OH 45215 | 2010-07-08 |
| 1962584300 | Julia R Kinlaw | Dentist | 411 Wyoming Ave, Wyoming, OH 45215 | 2006-10-19 |
| 1598735029 | Prakash C Goyal | Internal Medicine | 10192 Springfield Pike, Cincinnati, OH 45215 | 2006-01-26 |
| 1295711711 | Jeffrey Louis Susman | Family Medicine | 305 Crescent Avenue, University Wyoming Family Practice Center, Cincinnati, OH 45215 | 2005-12-16 |
| 1518942705 | Kathleen Ann Downey | Family Medicine | University Wyoming Family Practice Center, 305 Crescent Avenue, Cincinnati, OH 45215 | 2005-12-09 |
| 1447769104 | Mia Garnett | Case Manager/Care Coordinator | 10296 Springfield Pike, Cincinnati, OH 45215 | 2017-09-26 |
| Find all providers in zip 45215 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1831480029 | Frank D. R. Wood Ph.d. LLC | Psychologist | 12 Walnut Ave, Wyoming, OH 45215-4336 | 2011-04-22 |
| 1972745222 | Bernard Thomas Duthler | Psychologist | 830 28th St Sw, Wyoming, MI 49509-2849 | 2009-04-01 |
| 1487681326 | James Vincent Lozer | Psychologist | 4243 56th St Sw, Wyoming, MI 49418-9352 | 2006-06-27 |
| 1134765142 | Chelsea Sage-germain | Psychologist | 5838 Metro Way Sw, Wyoming, MI 49519-9619 | 2019-11-25 |
| 1770951378 | Krista M. Holman | Psychologist | 5838 Metro Way Sw, Wyoming, MI 49519-9619 | 2015-09-13 |
| 1841694296 | Stephanie L. Lonsway, Ph.d., Psychologist, LLC | Psychologist | 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2014-10-14 |
| 1952667396 | Stephanie Leigh Lonsway | Psychologist | 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2012-04-10 |
| 1487813200 | Metropolitan Hospital | Psychologist | 5950 Metro Way Sw, Wyoming, MI 49519 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235408 | Kearisten Gaines | Psychologist | 1155 Niles Cortland Rd Se Ste 2, Warren, OH 44484-2542 | 2020-11-04 |
| 1124628409 | Maya Kemi Akinfosile | Psychologist | 2910 W 12th St Apt Up, Cleveland, OH 44113-5212 | 2020-10-27 |
| 1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
| 1578180782 | Constructive Alternatives, LLC | Psychologist | 24300 Chagrin Blvd Ste 309, Beachwood, OH 44122-5629 | 2020-07-03 |
| 1932729746 | Transformations Psychological Services, LLC | Psychologist | 167 S State St Ste 80, Westerville, OH 43081-2236 | 2020-04-22 |
| 1194359216 | Kathrin A Koehler | Psychologist | 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 | 2020-02-27 |
| 1750914990 | Joshua B. Grubbs | Psychologist | 822 E Merry Psychology Building Suite 300, Bowling Green, OH 43403-0001 | 2020-02-17 |
| 1013540533 | Guy P Rowinski | Psychologist | 6099 Riverside Dr Ste 100, Dublin, OH 43017-2004 | 2020-02-13 |
| 1992346217 | Terrace Metrics, Inc. | Psychologist | 1122 Herschel Ave, Cincinnati, OH 45208-3113 | 2019-10-08 |
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.