Cesare-Jay Shelton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

23800 Northwestern Hwy Ste 190L
Southfield, MI 48075-7740

Phone

(877) 927-8461

NPI assigned

Aug 7, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Christopher Jacobs Other 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": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1528898160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 TEPPERT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343858",
            "telephone_number": "313-231-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 NORTHWESTERN HWY STE 190L",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757740",
            "telephone_number": "877-927-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "CESARE-JAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "JACOBS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shekinah Glory Christian Counseling Services PLLC
• Lucy Sheler
• Shelia Y Kennebrew DDS., Ms., PC
• Rebecca Candace Shelton-Williams, LMSW
• Brittaneyrose Shelton, LLMSW
• Latonya Meshawn Shelton, PSY.D., LLP
• Zarconia Shelton
• Latonya Shephard, LPC
• Shepherd Care Services Inc
• Marlo Sheppard, LLMSW

• Behavior Technician in Southfield, MI
• Providers in Southfield, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.