Active NPI
Erik Daniel Nelson, M.A., HSP-PA
- Cognitive & Behavioral Psychologist
- Greensboro, NC
National Provider Identifier
1891028155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 3899
- Practice address
- 5509A W Friendly Ave
Suite 202a
Greensboro, NC 27410-4269 - Phone
- (336) 297-1060
- NPI assigned
- Sep 17, 2009
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 3899 | NC | Primary |
Addresses
Primary practice location
5509A W Friendly Ave
Suite 202a
Greensboro, NC 27410-4269
Mailing address
5509A W Friendly Ave
Suite 202a
Greensboro, NC 27410-4269
Phone (336) 297-1060
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3899 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1891028155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509A W FRIENDLY AVE",
"address_2": "SUITE 202A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104269",
"telephone_number": "336-297-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509A W FRIENDLY AVE",
"address_2": "SUITE 202A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104269",
"telephone_number": "336-297-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ERIK",
"middle_name": "DANIEL",
"credential": "M.A., HSP-PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "3899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.