Steven Nelson, PHD, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

287 Issued in WY

Legal business name

STEVEN NELSON, PHD, INC.

Practice address

140 E. Broadway Ave.
Suite 25
Jackson, WY 83001-0516

Phone

(307) 739-9500

Fax

(307) 733-2837

NPI assigned

Dec 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Steven Nelson, PHD

Title

President

Phone

(307) 739-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1154624112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010516",
            "telephone_number": "307-739-9500",
            "fax_number": "307-733-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E. BROADWAY AVE.",
            "address_2": "SUITE 25",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010516",
            "telephone_number": "307-739-9500",
            "fax_number": "307-733-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN NELSON, PHD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-739-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WY",
            "license": "287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538211388",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Stasi, MS CF-SLP
• Martha Gene Stearn, MD
• Matthew W Stech, PPC
• Elisa Stephens, NP
• Michael Stern, D.M.D, PHD
• Ashley Drummond Stewart
• Natalie Cara Stewart, RN, NBC-HWC
• James B. Stockhouse, DDS
• Stephen Stocking, PHARMD
• Holbrook Stoecklein

• Community/Behavioral Health Agency in Jackson, WY
• Providers in Jackson, WY by specialty
• Community/Behavioral Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.