Active NPI
Ross Nelson, PSY.D.
- Clinical Psychologist
- Mountain View, CA
National Provider Identifier
1831321520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27738
- Practice address
- 1080A la Avenida St
Mountain View, CA 94043-1422 - Phone
- (858) 442-6834
- NPI assigned
- Aug 14, 2009
- Last updated
- Dec 18, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY27738 | CA | Primary |
Addresses
Primary practice location
1080A la Avenida St
Mountain View, CA 94043-1422
Mailing address
1080A la Avenida St
Mountain View, CA 94043-1422
Phone (858) 442-6834
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27738 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welleo Health, a Psychological Corporation | Current | Accepting new patients | |
| Men's Therapy Center | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Palo Alto, CA
- NPI 1417674706
-
dba Men's Therapy Center
- Cognitive & Behavioral Psychologist
- Palo Alto, CA
- NPI 1386362424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1831321520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080A LA AVENIDA ST",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940431422",
"telephone_number": "858-442-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080A LA AVENIDA ST",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940431422",
"telephone_number": "858-442-6834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ROSS",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-14",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.