JEAN A. DETERS, PSY.D., PLLC (NPI# 1477748846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477748846 |
| Entity Type | Organization |
| Organization Name | JEAN A. DETERS, PSY.D., PLLC |
| Other Organization Name | SELECT PSYCHOLOGICAL SERVICES |
| Practice Address |
2128 Chamber Center Drive Ft. Mitchell KY 41017 |
| Practice Telephone | 8593316525 |
| Practice Fax Number | 8593316526 |
| Mailing Telephone | 8593316525 |
| Mailing Fax Number | 8593316526 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Authorized Official Name | DR. JEAN A DETERS (SINGLE MEMBER) |
| Authorized Official Telephone | 8593316525 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1391 | KY | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Select Psychological Services | Doing Business As Name - Organization |
| Street Address |
2128 CHAMBER CENTER DRIVE |
| City | FT. MITCHELL |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486230 | Angie Fabiola Hernandez | Psychologist | 1009 Fisk Ct, Lexington, KY 40511-8369 | 2020-10-26 |
| 1548869084 | Skaggs Consulting, Pllc | Psychologist | 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 | 2020-10-24 |
| 1467050856 | Tyler J Ryan | Psychologist | 4220 Houston Rd, Erlanger, KY 41018-3402 | 2020-10-16 |
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1396377164 | Mariya Leyderman | Psychologist | 974 Breckenridge Ln # 171, Louisville, KY 40207-4619 | 2020-02-10 |
| 1841821196 | Sally Losson Brenzel | Psychologist | 10503 Timberwood Cir Ste 205, Louisville, KY 40223-5395 | 2020-01-27 |
| 1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1902377864 | Green Meadows Wellness Center One, LLC | Psychologist | 1640 Meadow Creek Rd, Rockholds, KY 40759-9563 | 2018-12-17 |
| 1093299299 | Kallye Joanah Renner | Psychologist | 7426 Us 42 Ste 106, Florence, KY 41042-2056 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
| City | FT. MITCHELL |
| Zip Code | 41017 |
Please comment or provide details below to improve the information on JEAN A. DETERS, PSY.D., PLLC.
| 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.