Organization Active NPI

Dayna Nelson, PSYD Family Psychology, a Professional Corporation

  • Clinical Psychologist
  • Atascadero, CA
National Provider Identifier
1457542276
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18730 Issued in CA
Legal business name
DAYNA NELSON, PSYD FAMILY PSYCHOLOGY, A PROFESSIONAL CORPORATION
Practice address
5805 Capistrano Ave Ste B
Atascadero, CA 93422-7218
Phone
(866) 476-6420
Fax
(866) 476-6420
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Dayna Nelson, PSYD
Title
Owner
Phone
(866) 476-6420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY18730 CA Primary

Addresses

Primary practice location

5805 Capistrano Ave Ste B
Atascadero, CA 93422-7218

Mailing address

1589 Granache Way
Templeton, CA 93465-3830
Phone (866) 476-6420

National Provider Directory

National Provider Directory

Locations

5805 Capistrano Ave
Ste B
Atascadero, CA 93422
Phone (805) 462-7106

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1457542276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 GRANACHE WAY",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934653830",
            "telephone_number": "866-476-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 CAPISTRANO AVE STE B",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227218",
            "telephone_number": "866-476-6420",
            "fax_number": "866-476-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYNA NELSON, PSYD FAMILY PSYCHOLOGY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-476-6420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.