JEANNE C. SELBY (NPI# 1124051057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124051057 |
| Entity Type | Individual |
| Full Name | JEANNE C. SELBY |
| Other Name | JEANNE E COSTELLO |
| Credential | PHD |
| Practice Address |
2340 E Trinity Mills Rd Suite 300 Carrollton TX 75006-1942 |
| Mailing Address |
1705 Woodbury Carrollton TX 75007-5279 |
| Practice Telephone | 2147628079 |
| Practice Fax Number | 9728209711 |
| Mailing Telephone | 2147628079 |
| Mailing Fax Number | 9728209711 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
31083 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MANAGED HEALTH NETWORK (MHN) | 396566 | 01 | |
| BLUE CROSS BLUE SHIELD (BCBS) | 0072PQ | 01 | |
| AETNA | 7192856 | 01 | |
| TX | 157554007 | 05 |
| Street Address |
2340 E TRINITY MILLS RD SUITE 300 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75006-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861932592 | Texas Premier Independent Physician Management, LLC | Clinic/Center | 2340 E Trinity Mills Rd, Carrollton, TX 75006-1942 | 2017-02-28 |
| 1770949851 | Loved Ones Honored Home Care LLC | In Home Supportive Care | 2340 E Trinity Mills Rd, Suite 300, Carrollton, TX 75006-1942 | 2016-01-05 |
| 1366822140 | Rona Amora | Counselor | 2340 E Trinity Mills Rd, #300, Carrollton, TX 75006-1942 | 2015-06-05 |
| 1538579347 | Premier Phc Physician Group Inc | Hospitalist | 2340 E Trinity Mills Rd, Suite 250, Carrollton, TX 75006-1942 | 2014-05-01 |
| 1528330875 | Health and Performance Chiropractic, Pllc | Chiropractor | 2340 E Trinity Mills Rd, Ste. 225, Carrollton, TX 75006-1942 | 2012-02-02 |
| 1659657542 | Asha S Fields Brewer | Chiropractor | 2340 E Trinity Mills Rd, Suite 225, Carrollton, TX 75006-1942 | 2011-10-24 |
| 1861705808 | Serenity Chiropractic & Family Wellness Center | Clinic/Center | 2340 E Trinity Mills Rd, Suite 225, Carrollton, TX 75006-1942 | 2010-07-20 |
| 1053624072 | Pamela V. Ford | Chiropractor | 2340 E Trinity Mills Rd, Suite 225, Carrollton, TX 75006-1942 | 2010-07-19 |
| 1760622351 | Frisco Professional Counseling Pllc | Counselor | 2340 E Trinity Mills Rd, Suite 300, Carrollton, TX 75006 | 2009-02-23 |
| 1295987337 | Cardiovascular Consultants of North Texas, LLP | Internal Medicine | 2340 E Trinity Mills Rd, Suite 118, Carrollton, TX 75006-1942 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
| 1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
| 1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
| 1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
| 1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
| 1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
| 1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
| 1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
| 1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
| Find all providers in zip 75006 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033565437 | Alefiyah Bharmal | Psychologist | 1902 Country Club Dr Ste 120, Carrollton, TX 75006-5824 | 2016-05-04 |
| 1932576717 | Tracie Kaip | Psychologist | 2625 N Josey Ln, Suite 250, Carrollton, TX 75007-5543 | 2015-08-27 |
| 1225382898 | Pickens County Health Care Authority | Psychologist | 241 Robert K Wilson Dr, Carrollton, AL 35447-0241 | 2012-11-05 |
| 1417255423 | Jennifer Rawley | Psychologist | 2625 N Josey Ln, Suite 250, Carrollton, TX 75007-5543 | 2011-03-01 |
| 1649588690 | Philip Shaffer | Psychologist | 180 Martin Dr, Carrollton, GA 30117-2425 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1588263339 | Uttam Psychological Services Pllc | Psychologist | 16711 Cedar Yard Ln, Cypress, TX 77433-5250 | 2020-10-22 |
| 1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
| 1639776412 | Nausheen Noor | Psychologist | 3707 Springhill Ln, Sugar Land, TX 77479-2293 | 2020-10-05 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1770194862 | Nichole Barbara Vincent | Psychologist | 829 Sunnyvale Pl, Uvalde, TX 78801-4078 | 2020-08-12 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
| 1821615733 | The Clinic Neuropsychological & Psychological Services, Pllc | Psychologist | 101 Uhland Rd Ste 205, San Marcos, TX 78666-6681 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 75006 |
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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.