Individual provider Active NPI

Ruth Robinson-Nelson, PHD

  • Psychologist
  • Newark, DE
National Provider Identifier
1619486750
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
B1-0001120 Issued in DE
Practice address
300 Creek View Rd Ste 101
Newark, DE 19711-8547
Phone
(302) 307-3702
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X B1-0001120 DE Primary

Addresses

Primary practice location

300 Creek View Rd Ste 101
Newark, DE 19711-8547

Mailing address

841 Woodcrest Dr
Dover, DE 19904-2440
Phone (651) 357-6751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20180807003059 DE Practitioner - Clinical Psychologist 6709134752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mental Edge Counseling, LLCGroup PAC ID 2668750324, 21 clinicians

Practice addresses (Care Compare)

1198 S Governors Ave
Suite 201
Dover, DE 19904-6930
Phone (302) 382-8698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B1-0001120DEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychology Group LLC Psychologist CurrentSince Jun 10, 2018 Accepting new patients
Mental Edge Counseling, LLC CurrentSince Aug 7, 2018 Accepting new patients

Locations

1198 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 382-8698

300 Creek View Rd
Ste 101
Newark, DE 19711
Phone (302) 307-3702

Organizations & group practices 2

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1619486750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 WOODCREST DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042440",
            "telephone_number": "651-357-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CREEK VIEW RD STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197118547",
            "telephone_number": "302-307-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-NELSON",
        "first_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0001120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.