George Michale Nelson

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00001343 Issued in WA

Practice address

110 Prefontaine PL S
Seattle, WA 98104-2677

Phone

(206) 389-2052

Fax

(206) 389-2083

NPI assigned

Dec 31, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1407186166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PREFONTAINE PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042677",
            "telephone_number": "206-389-2052",
            "fax_number": "206-389-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PREFONTAINE PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042677",
            "telephone_number": "206-389-2052",
            "fax_number": "206-389-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GEORGE",
        "middle_name": "MICHALE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel L. Nelson, D.C.
• Dawn Nelson
• Elizabeth Nelson, RN
• Eric J Nelson
• Gayle Gulick Nelson, PH.D.
• Giovanna Isabelle Nelson, MD
• Gregory Bayard Nelson, L.C.O
• Gregory David Nelson, DC
• Heidi Nelson, LMP
• Ikea Nelson

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.