Chelsey M Wylde, PSY. D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

13402 Issued in TN

Practice address

2863 Highway 45 Byp
Jackson, TN 38305-3618

Phone

(731) 664-1375

Fax

(731) 660-8370

NPI assigned

Nov 10, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Chelsey Morrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1053717694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383020400",
            "telephone_number": "731-425-5752",
            "fax_number": "731-422-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 HIGHWAY 45 BYP",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053618",
            "telephone_number": "731-664-1375",
            "fax_number": "731-660-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLDE",
        "first_name": "CHELSEY",
        "middle_name": "M",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "13402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "MORRISON",
            "credential": "PSY. D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitney Wright, NP
• William Jeffery Wright, OTR/L
• WT University Medical Associates Inc
• Karen Wyatt, APN
• Katherine E Wyatt, A.P.R.N.
• Anita L Wynn, C.R.N.A.
• Matthew Wynne, MD
• Erin Lane Yaden, MS
• Edward Scott Yarbro, M.D.
• Perecia Yarbrough

• Clinical Child & Adolescent Psychologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.