Provider Demographics
NPI:1427847490
Name:INTELLIPSYCH, PLLC
Entity type:Organization
Organization Name:INTELLIPSYCH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHELLHORN
Authorized Official - Suffix:
Authorized Official - Credentials:PMH-NP
Authorized Official - Phone:214-727-3664
Mailing Address - Street 1:1715 W PLEASANT RUN RD
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2721
Mailing Address - Country:US
Mailing Address - Phone:214-727-3664
Mailing Address - Fax:
Practice Address - Street 1:1715 W PLEASANT RUN RD
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2721
Practice Address - Country:US
Practice Address - Phone:214-727-3664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty