Active NPI
Natasha K. Nelson, NATASHA NELSON, PSYD
- Clinical Child & Adolescent Psychologist
- Lanham, MD
National Provider Identifier
1912237488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 10001 Derekwood LN
Lanham, MD 20706-4804 - Phone
- (347) 489-0664
- NPI assigned
- Jan 6, 2010
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
10001 Derekwood LN
Lanham, MD 20706-4804
Mailing address
PO Box 92325
Washington, DC 20090-2325
Phone (347) 489-0664
Other names 1
- Infinite Potential
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1912237488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92325",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200902325",
"telephone_number": "347-489-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 DEREKWOOD LN",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064804",
"telephone_number": "347-489-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "NATASHA",
"middle_name": "K.",
"credential": "NATASHA NELSON, PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "INFINITE",
"last_name": "POTENTIAL",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.