SHABAZZ JAMA CHELLEY (NPI# 1497268387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497268387 |
| Entity Type | Individual |
| Full Name | SHABAZZ JAMA CHELLEY |
| Practice Address |
7 Elsworth Ct Mc Leansville NC 27301-9308 |
| Practice Telephone | 3365123381 |
| Mailing Telephone | 3365123381 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Street Address |
7 ELSWORTH CT |
| City | MC LEANSVILLE |
| State | NC |
| Zip Code | 27301-9308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780186650 | Francesca Nixon | Physical Therapist | 5143 Hicone Rd, Mcleansville, NC 27301 | 2018-03-06 |
| 1093178519 | Carolyn Carr Norford | Case Manager/Care Coordinator | 5804 Barbell Cir, Mc Leansville, NC 27301 | 2016-04-01 |
| 1306964903 | Robert Harris Daniel Jr. | Dentist | 5706 Mcleansville Rd, Mcleansville, NC 27301 | 2007-03-26 |
| 1841434941 | Fuller Primary Care Pllc | Nurse Practitioner | 5405 Friedens Church Road, Mcleansville, NC 27301-0459 | 2009-04-21 |
| 1447745609 | Ava Laverne Stevenson | Counselor | 2313 Talon Dr, Mc Leansville, NC 27301-3001 | 2018-06-28 |
| 1598193393 | Elaine Michelle Phillips | Massage Therapist | 4722 Benttree Dr, Mc Leansville, NC 27301-8107 | 2013-10-15 |
| 1902323074 | Raquel Devonna Turnbull X | In Home Supportive Care | 5317 Ian Dr, Mc Leansville, NC 27301-8123 | 2017-08-29 |
| 1932341757 | Accessible Community Transportation | Non-emergency Medical Transport (VAN) | 5300 Ian Dr, Mc Leansville, NC 27301-8123 | 2009-03-25 |
| 1508082926 | Dana Lachelle Bunker | Speech-Language Pathologist | 5325 Ian Dr., Mccleansville, NC 27301-8123 | 2007-04-17 |
| 1730378910 | The Turning Pointe Healthcare Services, LLC | Case Management | 5129 Mallison Way, Mc Leansville, NC 27301-9000 | 2007-10-23 |
| Find all providers in zip 27301 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156386 | Jacqueline Hersh | Psychologist | 522 White Oak Rd, Boone, NC 28607-7660 | 2016-11-01 |
| 1568800845 | Janice Patrice Dodge | Psychologist | 245 E Main Ave, Gastonia, NC 28052-4142 | 2013-06-10 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1245502798 | Restorative Support Services,inc | Psychologist | 2818 Queen City Dr Ste E, 2818- E Queen City Drive, Charlotte, NC 28208-2736 | 2012-01-30 |
| 1598064917 | Megan Jamine Henrichsen | Psychologist | 269 Westlake Rd, Ste. 201, Fayetteville, NC 28314-4867 | 2011-03-24 |
| 1346552056 | Aspire Supportive & Counseling Services LLC | Psychologist | 130 E Morgan St, Raleigh, NC 27601-1410 | 2010-07-10 |
| 1598092538 | Stepping Stones Alternative Services | Psychologist | 4140 Ramsey St Ste 108, Fayetteville, NC 28311-7658 | 2009-11-12 |
| 1225271596 | Monica M. Glover | Psychologist | 5 Afton Pl, Durham, NC 27703-3797 | 2009-04-15 |
| 1164665873 | Murray Harold Merner | Psychologist | 626 Medical Dr, Greenville, NC 27834-7503 | 2009-04-10 |
| 1881832442 | Eric N Gadol | Psychologist | 911 Broad St, Durham, NC 27705-4141 | 2009-02-04 |
| Find all providers with the same taxonomy | ||||
| City | MC LEANSVILLE |
| Zip Code | 27301 |
Please comment or provide details below to improve the information on SHABAZZ JAMA CHELLEY.
| 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.