Active NPI
Ronald H Nelson, PHD
- Clinical Psychologist
- Centerville, OH
National Provider Identifier
1093756215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1917
- Practice address
- 1284 Forest Walk Dr
Centerville, OH 45459-4904 - Phone
- (937) 434-2765
- NPI assigned
- Jun 9, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1917 | OH | Primary |
Addresses
Primary practice location
1284 Forest Walk Dr
Centerville, OH 45459-4904
Mailing address
1284 Forest Walk Dr
Centerville, OH 45459-4904
Phone (937) 434-2765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1917 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093756215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1284 FOREST WALK DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594904",
"telephone_number": "937-434-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1284 FOREST WALK DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594904",
"telephone_number": "937-434-2765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RONALD",
"middle_name": "H",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "1917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.