Dr John Nelson, PSYD is a
Psychologist - Clinical based in Jbsa Randolph, Texas. Dr John Nelson is licensed to practice in California (license number 28054) and his current practice location is
221 3rd St W Bldg 1040, Jbsa Randolph, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 652-2448.
NPI number for Dr John Nelson is 1992111470 and his current mailing address is 221 3rd St W Bldg 1040, Jbsa Randolph, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992111470.
Healthcare Provider's Profile
| Full Name | Dr John Nelson |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
|---|
| Location | 221 3rd St W Bldg 1040, Jbsa Randolph, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992111470
- Provider Enumeration Date: 07/07/2014
- Last Update Date: 08/31/2023
Medical Identifiers
Medical identifiers for Dr John Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992111470 | NPI | - | NPPES |
| N/A | Medicaid | VA | |
| N/A | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 28054 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Nelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Nelson, PSYD
221 3rd St W Bldg 1040,
Jbsa Randolph, TX 78150-4800
Ph: (210) 652-2448 | Dr John Nelson, PSYD
221 3rd St W Bldg 1040,
Jbsa Randolph, TX 78150-4800
Ph: (210) 652-2448 |
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