Active NPI
Scott Michael Nelson, PH.D.
- Clinical Psychologist
- Dallas, TX
National Provider Identifier
1164414033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32145
- Practice address
- 6330 LBJ Fwy
Suite 150
Dallas, TX 75240-6467 - Phone
- (972) 233-6301
- Fax
- (972) 991-8966
- NPI assigned
- Aug 17, 2005
- 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 | 32145 | TX | Primary |
Addresses
Primary practice location
6330 LBJ Fwy
Suite 150
Dallas, TX 75240-6467
Mailing address
6330 LBJ Fwy
Suite 150
Dallas, TX 75240-6467
Phone (972) 233-6301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1684631 | Medicaid | TX |
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 |
|---|---|---|---|
| 32145 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164414033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 LBJ FWY",
"address_2": "SUITE 150",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406467",
"telephone_number": "972-233-6301",
"fax_number": "972-991-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 LBJ FWY",
"address_2": "SUITE 150",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406467",
"telephone_number": "972-233-6301",
"fax_number": "972-991-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1684631",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
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.