Arnold Ernest Nelson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

350 Issued in NC

Practice address

713 Mitch Dr
Winston Salem, NC 27104-5127

Phone

(336) 917-3111

Fax

(336) 917-3111

NPI assigned

Feb 14, 2006

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1932173416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MITCH DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045127",
            "telephone_number": "336-917-3111",
            "fax_number": "336-917-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MITCH DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045127",
            "telephone_number": "336-917-3111",
            "fax_number": "336-917-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ARNOLD",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000747",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Neill, MA CCC SLP
• Heather D Nelkin, PHARMD, BCOP, CPP
• Sean Patrick Nelligan, L.C.S.W., A.C.S.W.,
• Anna Kathryn Nelsen
• Nelson & Nelson Pathways, LLC
• Blake Patrick Nelson, D.D.S.
• Christie M Nelson, LPC, LCMHC
• Christopher Michael Nelson, M.D.
• Colleen E Nelson, M.A., CCC-SLP
• Elise Marie Nelson, AGNP-C

• Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.