Active NPI
Jenny Nielsen, PH.D., BCBA-D
- Psychologist
- West Chester, PA
National Provider Identifier
1205350634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017793
- Practice address
- 390 E Boot Rd
West Chester, PA 19380-1222 - Phone
- (610) 431-8830
- NPI assigned
- Jul 27, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017793 | PA | Primary |
Addresses
Primary practice location
390 E Boot Rd
West Chester, PA 19380-1222
Mailing address
390 E Boot Rd
West Chester, PA 19380-1222
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017793 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1205350634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 E BOOT RD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193801222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 E BOOT RD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193801222",
"telephone_number": "610-431-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "JENNY",
"credential": "PH.D., BCBA-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-27",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017793",
"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 Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.