Gerald E. Nissley, Jr., Psy.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GERALD E. NISSLEY, JR., PSY.D., PLLC

Practice address

505 E Travis St Ste 105
Marshall, TX 75670-4280

Phone

(903) 471-0274

Fax

(800) 915-4057

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Edward Nissley Jr., PSY.D.NPI 1225332711

Title

Psychologist

Phone

(903) 471-0274

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Edward Nissley Jr., PSY.D.

  • Clinical Psychologist
  • Marshall, TX
  • NPI 1225332711
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1255010765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E TRAVIS ST STE 105",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756704280",
            "telephone_number": "903-471-0274",
            "fax_number": "800-915-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E TRAVIS ST STE 105",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756704280",
            "telephone_number": "903-471-0274",
            "fax_number": "800-915-4057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 E Travis St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "TX",
            "postal_code": "756704281",
            "country_code": "US",
            "telephone_number": "903-471-0274",
            "fax_number": "800-915-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERALD E. NISSLEY, JR., PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "NISSLEY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "903-471-0274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Alan Garcia, BC-H.I.S.
• Charles D Gaskin, M.D.
• Latausha Tomeka Gaskin, PA-C
• Gateway Home Health LLC
• Jims Oommen George, PHARM.D
• Terry Lynn Gerber, M.D.
• Gibson Discount Pharmacy of Marshall Inc
• Kennedy E Gladding, ATC
• Lisa Childers Glorioso
• Good Shepherd Medical Center - Marshall

• Clinical Psychologist in Marshall, TX
• Providers in Marshall, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.