Deborah Kay Nelson, PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2400 Las Gallinas Ave
Suite 155
San Rafael, CA 94903-1447

Phone

(415) 578-0232

Fax

(415) 532-1515

NPI assigned

Aug 6, 2010

Last updated

Aug 17, 2015By the provider in NPPES

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

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1568777100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SPRUCE RD",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301515",
            "telephone_number": "415-686-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAS GALLINAS AVE",
            "address_2": "SUITE 155",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031447",
            "telephone_number": "415-578-0232",
            "fax_number": "415-532-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renita V. Nebres
• Heather Williams Neely, PT
• Jasmine Nehzati
• Jessica Harris Neil, MD
• Martha Louise Nelken, RN
• Fleur M. Nelson, R.D.O, A.B.O.C.
• Nicole Windhurst Nelson, MFT
• Nerina M. Cecchin
• April Netzer
• Marilynn Lois Neuenburg, OTR

• Mental Health Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.