Organization Active NPI

Nancy Nelson PSYD PC

  • Psychologist
  • McMinnville, OR
National Provider Identifier
1942481908
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Nancy Nelson, PSYD
Title
President
Phone
(971) 267-0036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X OR Primary

Addresses

Primary practice location

1945 N Baker St
McMinnville, OR 97128-2601

Mailing address

1945 N Baker St
McMinnville, OR 97128-2601
Phone (971) 267-0036

National Provider Directory

National Provider Directory

Locations

341 NE Ford St
McMinnville, OR 97128
Phone (971) 267-0036

1945 NE Baker St
McMinnville, OR 97128
Phone (971) 267-0036

NPI Registry JSON

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": []
}

Other providers in McMinnville, OR

Sources for this page

  • 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.