Brittany Nelsen, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9558 Issued in FL

Practice address

13 SE 21St PL
Cape Coral, FL 33990-1437

Phone

(239) 233-3092

NPI assigned

May 26, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Graceful Wellness, PA

  • Psychologist
  • Cape Coral, FL
  • NPI 1841814654
  NPD Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1407204712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SE 31ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043438",
            "telephone_number": "239-233-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SE 21ST PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901437",
            "telephone_number": "239-233-3092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8359 Beacon Blvd Ste 503",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339073066",
            "country_code": "US",
            "telephone_number": "239-599-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aylin Neira Ugalde, RBT
• Nelson L Gonzalez DPM PA
• Kayleigh Nelson, OD
• Phillip Logan Nelson Jr., DMD
• Aman Singh Nemitz, MSW
• Neogenomics Laboratories Inc

• Clinical Psychologist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.