Active NPI
Joshua Nelson PH.D., Licensed Clinical Psychologist P.C.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1043490915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016855
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.