Active NPI
Christopher Stanley Nelson, M.D.
- Psychiatry Physician
- Silver Spring, MD
National Provider Identifier
1104971555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 187851
- Practice address
- 9615 Dewitt Dr Apt 207
Silver Spring, MD 20910-7106 - Phone
- (914) 826-7344
- NPI assigned
- Jan 24, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 187851 | NY | Primary |
Addresses
Primary practice location
9615 Dewitt Dr Apt 207
Silver Spring, MD 20910-7106
Mailing address
9615 Dewitt Dr Apt 207
Silver Spring, MD 20910-7106
Phone (914) 826-7344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02174936 | Medicaid | NY |
Other names 1
- Dr. Christopher Stanley Nelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Lodge Medical Group, P.C. | Psychiatry | Past | Accepting new patients |
| Stony Lodge Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Briarcliff Manor, NY
- NPI 1568540607
-
- Psychiatry Physician
- Ossining, NY
- NPI 1023230190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1104971555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 DEWITT DR APT 207",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209107106",
"telephone_number": "914-826-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 DEWITT DR APT 207",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209107106",
"telephone_number": "914-826-7344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CHRISTOPHER",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "187851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02174936",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTOPHER",
"last_name": "NELSON",
"middle_name": "STANLEY",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.