Active NPI
Mary Lee Nelson, PHD.
- Psychologist
- Saint Louis, MO
National Provider Identifier
1427928050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2010009608
- Practice address
- 10311 Forest Brook LN Apt D
Saint Louis, MO 63146-5844 - Phone
- (775) 990-3106
- NPI assigned
- Nov 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 2010009608 | MO | Primary |
Addresses
Primary practice location
10311 Forest Brook LN Apt D
Saint Louis, MO 63146-5844
Mailing address
10311 Forest Brook LN Apt D
Saint Louis, MO 63146-5844
Phone (775) 990-3106
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 |
|---|---|---|---|
| 2010009608 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1427928050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10311 FOREST BROOK LN APT D",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631465844",
"telephone_number": "775-990-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10311 FOREST BROOK LN APT D",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631465844",
"telephone_number": "775-990-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MARY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MO",
"license": "2010009608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.