Nelson-Johnson Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NELSON-JOHNSON INC

Practice address

6649 Odana Rd
Madison, WI 53719-1011

Phone

(608) 699-9810

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Ian Nelson-Johnson, PSY. D., L. P.NPI 1598209033

Title

Owner

Phone

(847) 736-2917

Specialties & licenses 1

Addresses

Other names 2

• Ames Mind Body Center Doing business as
• Heartwork Counseling Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ian Nelson-Johnson, PSY.D.

  • Clinical Psychologist
  • Madison, WI
  • NPI 1598209033
  Medicare reassignment NPD Authorized official
• Alexandra Nicole Beaudry, LPC-IT

  • Mental Health Counselor
  • Madison, WI
  • NPI 1831037357
  NPD (past)

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1669934121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SCOTT AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500144039",
            "telephone_number": "847-736-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191011",
            "telephone_number": "608-699-9810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4923 Lincoln Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500143616",
            "country_code": "US",
            "telephone_number": "515-292-4870",
            "fax_number": "833-597-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NELSON-JOHNSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "NELSON-JOHNSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-736-2917",
        "authorized_official_credential": "PSY. D., L. P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ames Mind Body Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ames Mind Body Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartwork Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashton M Nell, NP
• Isabel Nellen, DO
• Gregory Keith Nelligan, M.D.
• Robert Allen Nellis
• Nelson and Phipps Incorporated
• Ian Nelson-Johnson, PSY.D.
• Sara Marie Nelson-Osterholz, D.C.
• Alysia Nelson
• Andrea Nelson, PH.D.
• Ariel Ann Nelson, M.D.

• Clinical Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.