Graceful Wellness, PA

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

GRACEFUL WELLNESS, PA

Practice address

13 SE 21St PL
Cape Coral, FL 33990-1437

Phone

(239) 233-3092

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Brittany Nelsen, PSYDNPI 1407204712

Title

Owner

Phone

(239) 233-3092

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brittany Nelsen, PSY.D.

  • Clinical Psychologist
  • Cape Coral, FL
  • NPI 1407204712
  NPD Authorized official

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1841814654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SE 31ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043438",
            "telephone_number": "239-233-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SE 21ST PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901437",
            "telephone_number": "239-233-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL WELLNESS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "NELSEN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-233-3092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Gostigian, DMD
• Rosangela Gotera Benitez
• Michele Goza
• Timothy Grabowski, P.A.-C
• Grace Eye Vision LLC
• Ariel Tawanda Graham, AGPCNP-C
• Amy Lynn Grahn, OTR/L
• Vanesa Grajales, ARNP
• Saily Grandia
• Grant Behavioral Therapy

• Psychologist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.