DR. RONALD RAY SELLERS (NPI# 1336606110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336606110 |
Entity Type | Individual |
Full Name | DR. RONALD RAY SELLERS |
Credential | PH.D. |
Practice Address |
2308 Andover Pl Charleston IL 61920-3808 |
Practice Telephone | 2178254335 |
Mailing Telephone | 2178254335 |
Enumeration Date | 2019-02-27 |
Last Update Date | 2019-02-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-002396 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124027313 | Ronald Edward Sellers | Optometrist | 1515 Lawrie Tatum Rd, Lawton, OK 73507 | 2005-07-19 |
1902907553 | Ronald Wilson Sellers | Pharmacist | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2006-09-26 |
Street Address |
2308 ANDOVER PL |
City | CHARLESTON |
State | IL |
Zip Code | 61920-3808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
Find all providers in zip 61920 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760083927 | Kimberly Adele Hughes | Psychologist | 310 Cambridge Pointe, Charleston, WV 25309-8596 | 2020-11-04 |
1912537424 | Miyuki N. Ege | Psychologist | 333 Laidley St Fl 4e, Charleston, WV 25301-1614 | 2020-01-23 |
1487212742 | Alysha Buonerba | Psychologist | 211 King St Ste 206, Charleston, SC 29401-3184 | 2019-06-03 |
1497212435 | Katherine Elizabeth Bischoff | Psychologist | 388 Huger St, Charleston, SC 29403-4126 | 2019-02-26 |
1326512088 | Roper Saint Francis Physicians Network | Psychologist | 2097 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5739 | 2019-01-16 |
1184191611 | Katherine Knies | Psychologist | 109 Bee St. (116), Charleston, SC 29401-5703 | 2018-11-02 |
1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
1023527504 | Rosaura Orengo-aguayo | Psychologist | 67 President St # St861, Charleston, SC 29425-5712 | 2017-09-27 |
1073062113 | Amanda K. Gilmore | Psychologist | 67 President St # 861, Charleston, SC 29425-5712 | 2016-09-30 |
1588064687 | Paul House | Psychologist | 1213 Pauline Ave, Charleston, SC 29412-4029 | 2014-08-26 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 61920 |
Please comment or provide details below to improve the information on DR. RONALD RAY SELLERS.
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.