JACK NELSON (NPI# 1992096754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992096754 |
| Entity Type | Individual |
| Full Name | JACK NELSON |
| Credential | PH.D. |
| Practice Address |
2219 Laurel Ln Allison Park PA 15101-2103 |
| Practice Telephone | 4124860395 |
| Mailing Telephone | 4124860395 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS001530L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659545879 | Jack Orrin Nelson | Physical Therapist | 19 W Newton St, Rice Lake, WI 54868-1744 | 2008-04-18 |
| 1114140159 | Jack Nelson | Adult Companion | 9 Hanover St, Suite 2, Lebanon, NH 03766-1312 | 2007-04-10 |
| 1629166590 | Jack Andrew Nelson | Dentist | 240 W Montauk Hwy, Hampton Bays, NY 11946-3510 | 2006-10-10 |
| Street Address |
2219 LAUREL LN |
| City | ALLISON PARK |
| State | PA |
| Zip Code | 15101-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679043210 | Eileen T Drury | Nurse Practitioner | 4068 Mt Royal Blvd Suite 101, Allison Park, PA 15101 | 2018-11-27 |
| 1528551611 | Lauren Elizabeth Bean | Physician Assistant | 4490 Mount Royal Blvd Ste 1000, Allison Park, PA 15101 | 2018-06-13 |
| 1326547795 | Sara Montgomery | Occupational Therapist | 4473 Birchwood Lane, Allison Park, PA 15101 | 2018-02-12 |
| 1023456449 | Jillian Elizabeth Kelly | Physician Assistant | 4290 William Flynn Highway, Suite 205, Allison Park, PA 15101 | 2013-06-07 |
| 1568736148 | Konstantina Elena Kreis | Psychologist | 307 Fourth Avenue, Bank Tower, Suite 1100, Pittsburgh, PA 15101 | 2012-02-29 |
| 1578851077 | Christopher Thomas Edwards | Orthopaedic Surgery | 2907 Claridge Drive, Allison Park, PA 15101 | 2011-07-18 |
| 1003100140 | Sarah Ruth Maffei | Counselor | 4068 Mount Royal Blvd Ste 220, Allison Park, PA 15101 | 2011-06-07 |
| 1447579560 | Ashley Louise Wakefield | Occupational Therapist | 2400 Wildwood Road, Allison Park, PA 15101 | 2010-05-28 |
| 1538490073 | Donald Joseph Huber | Family Medicine | 501 Foxcroft Lane, Allsion Park, PA 15101 | 2010-01-22 |
| 1770813685 | Bernard J Riley | Obstetrics & Gynecology | 3402 Route 8, Allison Park, PA 15101 | 2009-12-29 |
| Find all providers in zip 15101 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629618111 | Ryan V Lenz | Psychologist | 4284 William Flynn Hwy Ste 201, Allison Park, PA 15101-1440 | 2020-01-13 |
| 1679661953 | Mary M Brand | Psychologist | 4655 William Flynn Highway, Suite 125b, Allison Park, PA 15101 | 2006-10-11 |
| 1053322388 | Lisa Ann Osachy | Psychologist | 4068 Mt Royal Blvd, Suite 125, Allison Park, PA 15101 | 2006-08-11 |
| 1417918350 | Alice Ann Applegate | Psychologist | 3973 Rt 8, Allison Park, PA 15101 | 2006-03-30 |
| 1124014139 | David Gentile | Psychologist | 4707 William Flynn Hwy, Allison Park, PA 15101-2412 | 2005-09-26 |
| 1912241605 | Amber Star Donati | Psychologist | 4655 William Flynn Highway, Suite 125b, Allison Park, PA 15101-2243 | 2012-11-19 |
| 1073884797 | Steven Joseph Pasquinelli | Psychologist | 4284 William Flynn Hwy, Suite 201, Allison Park, PA 15101-1439 | 2012-01-26 |
| 1871743344 | Alliance Psychological Services, LLC | Psychologist | 4655 William Flynn Hwy, Suite 125b, Allison Park, PA 15101-2243 | 2008-09-22 |
| 1558491225 | M. Ann Ricard Bender | Psychologist | 4655 William Flynn Hwy, Suite 125b Coventry Square Office Center, Allison Park, PA 15101-2243 | 2007-03-06 |
| 1932145463 | Stanley Howard Nadulek | Psychologist | 4068 Mount Royal Blvd, Suite 218, Allison Park, PA 15101-2977 | 2006-06-22 |
| Find all providers in ALLISON PARK | ||||
| City | ALLISON PARK |
| Zip Code | 15101 |
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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.