Nelson Psychological Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NELSON PSYCHOLOGICAL SERVICES, LLC

Practice address

8360 W Oakland Park Blvd Ste 301F&G
Sunrise, FL 33351-7332

Phone

(941) 404-5483

Fax

(941) 328-3575

NPI assigned

Jul 31, 2019

Last updated

Jun 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiesha S Nelson, PSY.D.NPI 1548407919

Title

Ceo

Phone

(954) 294-8139

Specialties & licenses 8

Addresses

Other names 1

• Dr. Tiesha Nelson Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiesha Simona Nelson, PSY.D.

  • Psychologist
  • Sunrise, FL
  • NPI 1548407919
  NPD Authorized official
• Davena Limitless Longshore, PHD

  • Research Study Specialist
  • Reno, NV
  • NPI 1013521350

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1548814189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 W OAKLAND PARK BLVD STE 301F&G",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517332",
            "telephone_number": "941-404-5483",
            "fax_number": "941-328-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 W OAKLAND PARK BLVD STE 301F&G",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517332",
            "telephone_number": "941-404-5483",
            "fax_number": "941-328-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TIESHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-294-8139",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Tiesha Nelson",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr. Tiesha Nelson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Lynn Neely, PA-C
• Josue Negron, CRNA
• Mariaisabel Negron
• Neighbormd of Sunrise LLC
• Melonie Neils, CNA
• Norma J. Nelson, CRNA
• Tiesha Simona Nelson, PSY.D.
• Tatyana Louisa Nembhart
• Andrea Nerat, RN, CCM
• Neuro Pain Management, P.a.

• Community/Behavioral Health Agency in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.