DR. TIESHA SIMONA NELSON


Address: 1033 Nw 6th St Ste 202, Fort Lauderdale, FL 33311-8125
Phone: 9414045483

DR. TIESHA SIMONA NELSON (NPI# 1548407919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548407919
Entity Type Individual
Full Name DR. TIESHA SIMONA NELSON
Credential PSY.D.
Practice Address 1033 Nw 6th St Ste 202
Fort Lauderdale
FL 33311-8125
Practice Telephone 9414045483
Practice Fax Number 9413283575
Mailing Telephone 9414045483
Mailing Fax Number 9413283575
Enumeration Date 2009-01-07
Last Update Date 2018-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PY 7781 FL Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
PY7781 FL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PY7781 FL Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
PY7781 FL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1683 Campbell St, North Port Carrier Annex, FL 342880896 9542948139

Other Providers TIESHA NELSON

NPI Name Taxonomy Address Enumeration
1326226762 Tiesha Marie Nelson Licensed Practical Nurse 202 Boot Hill Ct, Amityville, NY 11701-2202 2008-02-07

Office Location

Street Address 1033 NW 6TH ST STE 202
City FORT LAUDERDALE
State FL
Zip Code 33311-8125

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
1114550738 Sarah Mikhail Psychologist 915 Middle River Dr Ste 204, Fort Lauderdale, FL 33304-3559 2020-02-21
1700423373 Psychological Healing Solutions Psychologist 2699 Stirling Rd Ste C304, Fort Lauderdale, FL 33312-6592 2019-12-03
1932615960 Integrative Therapy Solutions Bh LLC Psychologist 915 Ne 20th Ave Ste B, Fort Lauderdale, FL 33304-3037 2017-12-28
1720590979 Maria Leticia Vera Psychologist 3113 Stirling Rd Ste 204, Fort Lauderdale, FL 33312-6547 2017-10-27
1477862753 Marsha Brown Psychologist 757 Se 17th St Ste 622, Fort Lauderdale, FL 33316-2960 2010-10-04
1912132895 Dr. Allison Moten, P.a. Psychologist 101 Ne 3rd Ave, Suite 1500, Fort Lauderdale, FL 33301-1162 2009-05-21
1750565925 Professionals Trust Inc. Psychologist 2650 W State Road 84, L03, Fort Lauderdale, FL 33312-4882 2007-12-24
1356548853 Clifton Mclesky Ables Psychologist 1975 E Sunrise Blvd Ste 815, Fort Lauderdale, FL 33304-1455 2007-06-28
1457568370 Daryl Edwin Vorce Psychologist 1000 Sw 2nd St, Fort Lauderdale, FL 33312-7134 2007-05-17
1801008693 Michael S. Parish Psychologist 1421 Se 4th Ave, Suite D, Fort Lauderdale, FL 33316-1900 2007-05-04
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Competitor

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City FORT LAUDERDALE
Zip Code 33311

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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