Organization Active NPI

Joshua Nelson PH.D., Licensed Clinical Psychologist P.C.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1043490915
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016855 Issued in NY
Legal business name
JOSHUA NELSON PH.D., LICENSED CLINICAL PSYCHOLOGIST P.C.
Practice address
138 W 25TH St
6TH Floor, Number 10
New York, NY 10001-7405
Phone
(646) 512-0043
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Joshua Nelson, PH.D.
Title
Psychologist
Phone
(646) 512-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 016855 NY Primary

Addresses

Primary practice location

138 W 25TH St
6TH Floor, Number 10
New York, NY 10001-7405

Mailing address

138 W 25TH St
6TH Floor, Number 10
New York, NY 10001-7405
Phone (646) 512-0043

National Provider Directory

National Provider Directory

Locations

138 W 25th St
Fl 6
New York, NY 10001
Phone (212) 414-7622

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1043490915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W 25TH ST",
            "address_2": "6TH FLOOR, NUMBER 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017405",
            "telephone_number": "646-512-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W 25TH ST",
            "address_2": "6TH FLOOR, NUMBER 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017405",
            "telephone_number": "646-512-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA NELSON PH.D., LICENSED CLINICAL PSYCHOLOGIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-512-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.