DR. JON ERIC NELSON (NPI# 1295891851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295891851 |
| Entity Type | Individual |
| Full Name | DR. JON ERIC NELSON |
| Credential | PH.D. |
| Practice Address |
1305 Tommydon St Kaiser Psychiatry Stockton CA 95210-3364 |
| Practice Telephone | 2094762015 |
| Practice Fax Number | 2094763528 |
| Mailing Telephone | 2094762015 |
| Mailing Fax Number | 2094763528 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 8470 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124538236 | Jon Gary Nelson | Counselor | 4992 Cactus Pl, Prescott, AZ 86301-5845 | 2017-10-03 |
| 1225351174 | Jon Richard Nelson | Pharmacist | 6021 Kiva St Nw, Albuquerque, NM 87120-4473 | 2010-03-07 |
| 1619173911 | Jon Bradley Nelson | Pharmacist | 2100 16th Ave S Ste 112, Birmingham, AL 35205-5021 | 2007-06-23 |
| 1003982406 | Jon Gregorie Nelson | Dentist | 418 23rd Ave E, Superior, WI 54880-3707 | 2006-11-28 |
| 1952714719 | Jon Alexander Nelson | Surgery | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-06-09 |
| 1497794762 | Jon E Nelson | Physician Assistant | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-06-05 |
| Street Address |
1305 TOMMYDON ST KAISER PSYCHIATRY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795076 | Alice Park | Psychiatry & Neurology | 1305 Tommydon St, Stockton, CA 95210-3364 | 2005-07-28 |
| 1699108076 | Brooke G Vierra | Marriage & Family Therapist | 1305 Tommydon St, Stockton, CA 95210-3364 | 2013-08-20 |
| 1780956136 | Amanda Lyn Ashworth | Marriage & Family Therapist | 1305 Tommydon St, Stockton, CA 95210-3364 | 2012-02-01 |
| 1225315401 | Colleen A Weyrens | Marriage & Family Therapist | 1305 Tommydon St, Stockton, CA 95210-3364 | 2011-11-15 |
| 1639359318 | Natalie Nacole Vides-boelke | Social Worker | 1305 Tommydon St, Stockton, CA 95210-3364 | 2007-11-09 |
| 1679763510 | Mitsuaki Kayne Ohata | Psychologist | 1305 Tommydon St, Stockton, CA 95210-3364 | 2007-07-26 |
| 1679770895 | Uzma Nazir | Social Worker | 1305 Tommydon St, Stockton, CA 95210-3364 | 2007-06-29 |
| 1114131737 | Thu Dan Thi Pham | Psychologist | 1305 Tommydon St, Stockton, CA 95210-3364 | 2007-05-10 |
| 1265552095 | Ceferina Rose Garcia | Marriage & Family Therapist | 1305 Tommydon St, Stockton, CA 95210-3364 | 2007-03-29 |
| 1114068731 | Linda Liem | Social Worker | 1305 Tommydon St, Stockton, CA 95210-3364 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700390366 | Kenneth Bernard Spears | Psychologist | 1644 Oxford Way, Stockton, CA 95204-4259 | 2017-11-18 |
| 1902359722 | Michele Thomason, Ph.d. | Psychologist | 1111 W Robinhood Dr Ste D, Stockton, CA 95207-5626 | 2016-07-28 |
| 1053787903 | Sally Kydd | Psychologist | 17 Sanford Rd, Stockton, NJ 08559-1204 | 2015-08-14 |
| 1447520465 | James E Telander | Psychologist | 7650 S. Newcastle Rd., Stockton, CA 95215 | 2012-01-06 |
| 1891822912 | Norman Solomowitz | Psychologist | 4227 Annandale Dr, Stockton, CA 95219-1778 | 2007-02-27 |
| 1568525954 | Juliet Darko Acolatse | Psychologist | 1201 N Sutter St, Stockton, CA 95202-1506 | 2006-12-18 |
| 1275646036 | Purna Chandra Datta | Psychologist | 7510 Shoreline Dr, Suite A-6, Stockton, CA 95219-5495 | 2006-08-16 |
| 1669403580 | John A Chellsen | Psychologist | 2155 W March Ln, Ste 2b, Stockton, CA 95207-6420 | 2006-07-06 |
| 1073091765 | Melissa Lynn Keane | Psychologist | 7373 West Ln, Stockton, CA 95210-3377 | 2018-08-03 |
| 1689162182 | Glenn Robert Lundberg | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-04-30 |
| Find all providers in STOCKTON | ||||
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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.