Individual provider Active NPI

Christine Ann Nelson, PH.D.

  • Clinical Psychologist
  • Richmond, VA
National Provider Identifier
1629130331
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003704 Issued in VA
Practice address
9020 Stony Point Pkwy Ste 375
Richmond, VA 23235-1946
Phone
(804) 728-2190
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810003704 VA Primary

Addresses

Primary practice location

9020 Stony Point Pkwy Ste 375
Richmond, VA 23235-1946

Mailing address

9020 Stony Point Parkway
Suite 375
Richmond, VA 23235
Phone (804) 728-2190

Other practice location 1

13821 Village Mill Dr
Suite B
Midlothian, VA 23114-4365
Phone (804) 794-8900

Other identifiers 1

IdentifierTypeStateIssuer
239362OtherVAANTHEM BLUE CROSS& SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810003704VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Even Keel Health PLLC PastSince Apr 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629130331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 STONY POINT PARKWAY",
            "address_2": "SUITE 375",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-728-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 STONY POINT PKWY STE 375",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351946",
            "telephone_number": "804-728-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13821 Village Mill Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231144365",
            "country_code": "US",
            "telephone_number": "804-794-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS& SHIELD",
            "identifier": "239362",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.