Benjamin Nelson, M.A., BHT

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

3856919 Issued in AZ

Practice address

4372 E Sack Dr
Phoenix, AZ 85050-3395

Phone

(480) 326-4233

NPI assigned

Jul 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1134484876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4372 E SACK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503395",
            "telephone_number": "480-326-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4372 E SACK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503395",
            "telephone_number": "480-326-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "M.A., BHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "3856919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nelson, PA-C
• Anntanette Nelson, RN
• Anthony Nelson
• Aubrey Helena Nelson
• Audra Nelson, RD, MS, CNSC
• Brent Nelson, D.O.
• Caley Nelson, LCSW
• Christopher Michael Nelson
• Clinton Gregory Nelson, DO
• Cornelia M Nelson

• Child Mental Illness Respite Care in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.