DR. DEBRA SHEPARD NELSON (NPI# 1851640148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851640148 |
Entity Type | Individual |
Full Name | DR. DEBRA SHEPARD NELSON |
Credential | PSY.D. |
Practice Address |
199 Main Street Durham CT 06422-0002 |
Mailing Address |
Po Box 2 Durham CT 06422-0002 |
Practice Telephone | 8607883231 |
Practice Fax Number | 8888444036 |
Mailing Telephone | 8607883231 |
Mailing Fax Number | 8888444036 |
Enumeration Date | 2012-09-03 |
Last Update Date | 2013-09-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
003123 | CT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043834716 | Debra Nelson | Counselor | 11436 139th St Ph, Jamaica, NY 11436-1013 | 2020-05-29 |
1295277390 | Debra Nelson | Counselor | 76 Hunt Martin St Ste A, Blairsville, GA 30512-3694 | 2016-11-07 |
1235587171 | Debra Nelson | Nurse Practitioner | 7370 W Ridge Cir, Sherwood, AR 72120-3695 | 2016-06-01 |
1821493479 | Debra Ann Nelson | Residential Treatment Facility, Physical Disabilities | 2271 Pine Rd, Rudolph, WI 54475 | 2014-10-24 |
1104225861 | Debra Nelson | Counselor | 121 Darby Creek Way, Prescott, AZ 86301-4413 | 2014-08-19 |
1710069042 | Debra Nelson | Neurological Surgery | 8285 W. Arby Avenue, Ste. 220, Las Vegas, NV 89113 | 2006-10-19 |
1689274870 | Debra Nelson | Occupational Therapist | 85 N Washington St, North Attleboro, MA 02760-1684 | 2020-10-28 |
1831470905 | Debra Jean Nelson | Physical Therapy Assistant | 1401 Bryant Williams Dr., Klamath Falls, OR 97601 | 2011-09-02 |
1831478924 | Debra L. Nelson | Physical Therapist | 24400 Highpoint Rd, Suite 115, Beachwood, OH 44122-6054 | 2011-08-08 |
1245470095 | Debra Kaye Nelson | Nurse Practitioner | 18220 State Highway 249 Ste 200, Houston, TX 77070 | 2009-03-05 |
Street Address |
199 MAIN STREET |
City | DURHAM |
State | CT |
Zip Code | 06422-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386993574 | Brownstone Psychological Associates, LLC | Psychologist | 199 Main Street, Durham, CT 06422 | 2012-09-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790999019 | Durham Dental LLC | Dentist | 360 D Main Street, Durham, CT 06422 | 2007-05-09 |
1942429014 | Mhs Primary Care | Physician Assistant | 6 Main St., Durham, CT 06422 | 2007-04-25 |
1407490717 | Sharon Jean Koch | Social Worker | 80 Plains Rd, Unit 1, Essex, CT 06422 | 2019-10-30 |
1013343334 | William Allen Gillespie | Pediatrics | 256 Main St, Durham, CT 06422 | 2013-09-18 |
1265469068 | Bradford W Wilkinson | Family Medicine | 6 Main St, Durham, CT 06422 | 2006-06-27 |
1457774978 | Karen Otte | Social Worker | 525 New Haven Rd., Durham, CT 06422-0236 | 2014-02-04 |
1396746400 | Amit Patel | Dentist | 28 Elihu Dr, Durham, CT 06422-1025 | 2005-08-10 |
1730458068 | Diane Adele Mount Desroches | Registered Nurse | 459r Wallingford Rd, Durham, CT 06422-1124 | 2011-12-15 |
1811250632 | Angela Andrade | Social Worker | 459r Wallingford Rd, Durham, CT 06422-1124 | 2012-06-18 |
1891006748 | Katherine Spring | Counselor | 459 Wallingford Rd, Durham, CT 06422-1125 | 2010-06-25 |
Find all providers in zip 06422 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708062 | Daniel Vanhoy Blalock | Psychologist | 411 W Chapel Hill St Ste 600, Durham, NC 27701-3270 | 2020-10-20 |
1265048342 | Joseph Giles Winger | Psychologist | 2200 W Main St Erwin Square Plaza, Durham, NC 27710-0001 | 2020-09-23 |
1124640537 | Katherine Ramos | Psychologist | 2200 W Main St Ste 300, Durham, NC 27705-4677 | 2020-05-08 |
1902436496 | Caitlin Marie Fang | Psychologist | 1200 Broad St Ste 103, Durham, NC 27705-3576 | 2020-01-23 |
1194376095 | Craig Daniel Libman | Psychologist | 508 Fulton St Dept 116b, Durham, NC 27705-3875 | 2019-09-23 |
1790346617 | Timothy Joseph Strauman | Psychologist | 708 Ivy Meadow Ln, Durham, NC 27707-6183 | 2019-06-21 |
1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
1881150795 | Courtney Dutton Cox | Psychologist | 508 Fulton St # 116c, Durham, NC 27705-3875 | 2019-02-15 |
1295290104 | Sarah E. Frost | Psychologist | 18 W Colony Pl Ste 280, Durham, NC 27705-5582 | 2019-02-05 |
1134639362 | Mark Edward Wolever | Psychologist | 1502 Nc Hwy 54 Wesst, Suite 406, Durham, NC 27707 | 2017-10-02 |
Find all providers in DURHAM |
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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.