Jean a. Deters, Psy.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1391 Issued in KY

Legal business name

JEAN A. DETERS, PSY.D., PLLC

Doing business as

Select Psychological Services

Practice address

2128 Chamber Center Drive
Ft. Mitchell, KY 41017

Phone

(859) 331-6525

Fax

(859) 331-6526

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jean A Deters, PSY.D.

Title

Single Member

Phone

(859) 331-6525

Specialties & licenses 1

Addresses

Other names 1

• Select Psychological Services Doing business as

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1477748846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 CHAMBER CENTER DRIVE",
            "city": "FT. MITCHELL",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-331-6525",
            "fax_number": "859-331-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 CHAMBER CENTER DRIVE",
            "city": "FT. MITCHELL",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-331-6525",
            "fax_number": "859-331-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN A. DETERS, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "DETERS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "859-331-6525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Hine, PA
• Cody Hudson, PHARMD
• Taylor Renae Hughes, MSW
• Elaina Jacobs, PHARMD
• Tracy Jarboe
• Jen's Early Intervention
• Tracy Jennings, RPH
• Brady Jones
• David Michael Jones
• Marianne Jordan, MS CCC SLP

• Clinical Psychologist in Ft Mitchell, KY
• Providers in Ft Mitchell, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.