Individual provider Active NPI

Reginal Gene Nelson, PSY

  • Psychologist
  • Pottstown, PA
National Provider Identifier
1568422897
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015506 Issued in PA
Practice address
634 King St
Pottstown, PA 19464-5743
Phone
(610) 323-8866
Fax
(610) 323-1406
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015506 PA Primary

Addresses

Primary practice location

634 King St
Pottstown, PA 19464-5743

Mailing address

413 Hillside Rd
King of Prussia, PA 19406-3127
Phone (610) 313-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601001721 PA Practitioner - Clinical Psychologist 5092036277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

560 Van Reed Rd
Suite 301
Wyomissing, PA 19610-1765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Aug 10, 2024 Accepting new patients
Springfield Psychological PC CurrentSince May 10, 2023 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Aug 10, 2024 Accepting new patients
Nelson Psychological Services, LLC CurrentSince Jun 9, 2018 Accepting new patients

Locations

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

220 W Gay St
West Chester, PA 19380
Phone (484) 516-8142

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601

Interoperability endpoints

  • Direct secure messaging: reginal.nelson.1@28623.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568422897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 HILLSIDE RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063127",
            "telephone_number": "610-313-8866",
            "fax_number": "610-323-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 KING ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645743",
            "telephone_number": "610-323-8866",
            "fax_number": "610-323-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "REGINAL",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "PSY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.