Active NPI
Kaytlin Ann Nelson, PHD
- School Psychologist
- Ludlow, MA
National Provider Identifier
1669317665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 58493650
- Practice address
- 32 Elaine Dr
Ludlow, MA 01056-1258 - Phone
- (413) 519-8762
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 58493650 | MA | Primary |
Addresses
Primary practice location
32 Elaine Dr
Ludlow, MA 01056-1258
Mailing address
32 Elaine Dr
Ludlow, MA 01056-1258
Phone (413) 519-8762
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58493650 | MA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1669317665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 ELAINE DR",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010561258",
"telephone_number": "413-519-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 ELAINE DR",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010561258",
"telephone_number": "413-519-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KAYTLIN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "58493650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.