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EDWARD GEORGE SHELLEBY PH.D.
NPI 1124186267
Psychologist - Clinical in Wyoming, OH

Active since December 04, 2006PECOS Enrolled
115 ELM AVE, WYOMING, OH 45215(513) 559-2066(513) 559-2009 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edward George Shelleby Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD GEORGE SHELLEBY PH.D. (NPI 1124186267) is an individual clinical provider in Wyoming, Ohio, licensed in Ohio (2897) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124186267
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameEDWARD GEORGE SHELLEBYCredential: PH.D.
Location Address115 ELM AVEWyoming, OH 45215-4325
Mailing Address115 Elm AveWyoming, OH 45215-4325 · (513) 559-2066 · Fax (513) 559-2009
Phone(513) 559-2066
Fax(513) 559-2009
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124186267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OH · 2897
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

115 ELM AVE, Wyoming, OH 45215
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Other Identifiers 2

Medicaid0410380OH
Medicare ID-Type UnspecifiedCPO5621OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward George Shelleby Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Shelleby's NPI number?

The NPI number for Edward Shelleby is 1124186267. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Edward Shelleby located?

Edward Shelleby practices at 115 Elm Ave, Wyoming, OH 45215. The listed phone number is (513) 559-2066.

What is Edward Shelleby's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Edward Shelleby enrolled in Medicare?

Yes. Edward Shelleby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Shelleby was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.