Nancy Nelson PSYD PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NANCY NELSON PSYD PC

Practice address

1945 N Baker St
McMinnville, OR 97128-2601

Phone

(971) 267-0036

Fax

(503) 883-9086

NPI assigned

Nov 19, 2007

Last updated

Sep 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Nelson, PSYDNPI 1346316965

Title

President

Phone

(971) 267-0036

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, and the practitioner matching its NPPES authorized official.

• Nancy Nelson, PSYD

  • Psychologist
  • McMinnville, OR
  • NPI 1346316965
  Authorized official Same address or phone

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1942481908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 N BAKER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282601",
            "telephone_number": "971-267-0036",
            "fax_number": "503-883-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 N BAKER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282601",
            "telephone_number": "971-267-0036",
            "fax_number": "503-883-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY NELSON PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-267-0036",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.