DR. JILLIAN ALEXIS SHELLABARGER (NPI# 1467768531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467768531 |
| Entity Type | Individual |
| Full Name | DR. JILLIAN ALEXIS SHELLABARGER |
| Credential | M.D. |
| Practice Address |
1522 E Us Highway 36 Urbana OH 43078-9738 |
| Mailing Address |
1522 E Us Hwy 36 Urbana OH 43078 |
| Practice Telephone | 9376535583 |
| Mailing Telephone | 9376535583 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2016-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35.122838 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1522 E US HIGHWAY 36 |
| City | URBANA |
| State | OH |
| Zip Code | 43078-9738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174062020 | Carly Ann St. Clair | Case Manager/Care Coordinator | 1522 E Us Highway 36, Suite A, Urbana, OH 43078-9738 | 2017-02-13 |
| 1902295405 | Marcia Kostoff | Counselor | 1522 E Us Highway 36, Suite A, Urbana, OH 43078-9738 | 2015-01-21 |
| 1720491129 | Hannah R Auck | Social Worker | 1522 E Us Highway 36, Suite A, Urbana, OH 43078-9738 | 2014-06-04 |
| 1619307832 | Trena Jenkins | Social Worker | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851812 | Alicia Susanne Mcguire | Case Manager/Care Coordinator | 1522 West Us Highway 36, Suite A, Urbana, OH 43078 | 2018-12-03 |
| 1962998674 | Emily Holland | Counselor | 1522 East Us Rte 36, Suite A, Urbana, OH 43078 | 2018-07-05 |
| 1790235638 | Scott Kayatin | Chiropractor | 1598 E Us Highway 36, Urbana, OH 43078 | 2016-10-04 |
| 1053778522 | Holly Bowman | Specialist | 888 East Court Street, Urbana, OH 43078 | 2016-01-28 |
| 1932512142 | Amanda Myers | Nurse Practitioner | 204 Patrick Avenue, Urbana, OH 43078 | 2014-06-05 |
| 1700201290 | Laura Nichole Steele | Speech-Language Pathologist | 2200 Us 68, Urbana, OH 43078 | 2014-02-20 |
| 1255769394 | Kimberly A. G. Leichty | Counselor | 1522 East Us Rte 36, Suite A, Urbana, OH 43078 | 2013-10-29 |
| 1912249186 | Jessica Thomas | Licensed Practical Nurse | 520 E Water St, Urbana, OH 43078 | 2013-03-26 |
| 1699053884 | Terry Means | Social Worker | 1522 E Us Rte 36, Suite A, Urbana, OH 43078 | 2011-07-22 |
| 1619277860 | Vectren | Home Infusion | 7587 W St Rt 29, Urbana, OH 43078 | 2010-10-21 |
| Find all providers in zip 43078 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
| 1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
| 1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
| 1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
| 1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
| 1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
| 1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
| 1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
| 1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
| 1346443090 | Madhuri Medarametla | Psychiatry & Neurology | 7590 Wentworth Ln, Mentor, OH 44060-7273 | 2007-06-08 |
| 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.