Dawn Renee' Nelson, PSY.D., M.DIV.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3157 Issued in NC

Practice address

1363 N. Prospect Avenue
Milwaukee, WI 53202

Phone

(828) 321-9900

NPI assigned

Jan 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centre for Human Flourishing, LLC

  • Clinical Psychologist
  • Milwaukee, WI
  • NPI 1891190708
  NPD (past) Authorized official
• Smoky Mountain Center for MH/DD/Sas

  • Psychiatry Physician
  • Waynesville, NC
  • NPI 1346388782
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1265412134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 N. PROSPECT AVE.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "828-321-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 N. PROSPECT AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "828-321-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAWN",
        "middle_name": "RENEE'",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.DIV.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "046VF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anika Marie Nelson, M.D.
• Ariane Nelson
• Bridget E Nelson, PHARMD
• Christopher Ricchio Nelson, PT
• David Nelson, APSW
• Emma Nelson
• Emma Nelson
• Eric A Nelson, M.D.
• Gretchen Leigh Nelson, PA-C
• Jacob Patrick Nelson

• Clinical Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.