DR. STEVEN ANDREW NELSON (NPI# 1538211388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538211388 |
| Entity Type | Individual |
| Full Name | DR. STEVEN ANDREW NELSON |
| Credential | PHD |
| Practice Address |
1115 Maple Way Suite D Jackson WY 83001-8567 |
| Mailing Address |
Po Box 516 Jackson WY 83001-0516 |
| Practice Telephone | 3077399500 |
| Practice Fax Number | 3077332837 |
| Mailing Telephone | 3077399500 |
| Mailing Fax Number | 3077332837 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 286 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144592890 | Steven Deward Nelson | Technician | 2151 W 15th Ct, Eugene, OR 97402-3460 | 2012-01-27 |
| 1285929158 | Steven A Nelson | Dentist | 1333 Plaza Blvd, Suite A, Central Point, OR 97502-2671 | 2011-06-18 |
| 1265667125 | Steven L Nelson | Social Worker | 1301 Seminole Blvd, Bldg. A, Suite 103, Largo, FL 33770-8173 | 2009-05-21 |
| 1861527046 | Steven Edward Nelson | Optometrist | 2000 Us Hwy 181, Portland, TX 78374 | 2007-02-21 |
| 1154405124 | Steven J. Nelson | Counselor | 1 Veterans Dr # 116a4, Minneapolis, MN 55417-2309 | 2006-10-25 |
| 1790873404 | Steven Ralph Nelson | Dentist | 27713 Jefferson Ave, Suite #109, Temecula, CA 92590-2629 | 2006-10-10 |
| 1992890875 | Steven M Nelson | Chiropractor | 2902 Hillrise Dr, Las Cruces, NM 88011-4702 | 2006-10-04 |
| 1336174697 | Steven F Nelson | Physician Assistant | 2900 First Ave First Floor, The Center for Pain Relief Tri State Pllc, Huntington, WV 25702 | 2006-07-12 |
| 1861497125 | Steven L Nelson | Surgery | 814 N Main St, Yreka, CA 96097-2538 | 2005-06-14 |
| 1720603038 | Steven Nelson | Physical Therapy Assistant | 3611 Transmitter Rd, Panama City, FL 32404-9799 | 2020-06-11 |
| Street Address |
1115 MAPLE WAY SUITE D |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093255242 | Cheryl Ann Renzulli | Counselor | 1115 Maple Way, Suite C, Jackson, WY 83001-8567 | 2017-03-06 |
| 1881971679 | Kurt Lower Linford | Dentist | 1115 Maple Way, Jackson, WY 83001-8634 | 2011-11-08 |
| 1134364094 | Stephen Stuart Lottridge | Psychologist | 1115 Maple Way, Suite D, Jackson, WY 83002-7411 | 2008-12-08 |
| 1033235379 | Veldon Ross Moser | Dentist | 1115 Maple Way, Jackson, WY 83001 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| 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 |
|---|---|---|---|---|
| 1144792169 | Snake River Consulting LLC | Psychologist | 430 Pine Dr, Jackson, WY 83001-8417 | 2019-01-02 |
| 1972834604 | Sue C Radtke | Psychologist | 4476 Bittersweet Ct, Jackson, WI 53037-9754 | 2010-01-20 |
| 1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
| 1356511562 | John Patterson Thorn | Psychologist | 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 | 2008-03-04 |
| 1013109552 | Terri Martin Revelle | Psychologist | 111 E. Jefferson St., Jackson, NC 27845 | 2007-08-17 |
| 1184830143 | Toby S Altfeld | Psychologist | 156 C West University Parkway, Jackson, TN 38305 | 2007-05-15 |
| 1497968911 | Mollie Wyatt | Psychologist | 4055 I-55 North, Suite 293, Jackson, MS 39211 | 2007-05-08 |
| 1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
| 1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
| 1295877165 | Rose Margaret Hochheiser | Psychologist | 140 King Street, Jackson, WY 83001 | 2007-02-13 |
| Find all providers in JACKSON | ||||
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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.