Organization Active NPI

Nelson Psychological Services, LLC

  • Clinical Psychologist
  • West Chester, PA
National Provider Identifier
1144724881
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015506 Issued in PA
Legal business name
NELSON PSYCHOLOGICAL SERVICES, LLC
Practice address
220 W Gay St
West Chester, PA 19380-2917
Phone
(484) 516-8142
NPI assigned
Mar 19, 2018
Last updated
Mar 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Dr. Reginal Gene Nelson, PSY.D.NPI 1568422897
Title
Owner
Phone
(484) 516-8142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS015506 PA Primary

Addresses

Primary practice location

220 W Gay St
West Chester, PA 19380-2917

Mailing address

183 Vincent Dr
Honey Brook, PA 19344-9727
Phone (484) 516-8142

National Provider Directory

National Provider Directory

Locations

220 W Gay St
West Chester, PA 19380
Phone (484) 516-8142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1144724881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 VINCENT DR",
            "city": "HONEY BROOK",
            "state": "PA",
            "postal_code": "193449727",
            "telephone_number": "484-516-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W GAY ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802917",
            "telephone_number": "484-516-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "REGINAL",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-516-8142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.