ROBERT GRAYDON NELSON (NPI# 1851724959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851724959 |
Entity Type | Individual |
Full Name | ROBERT GRAYDON NELSON |
Practice Address |
6500 Morro Rd Ste D Atascadero CA 93422-4142 |
Practice Telephone | 8054615212 |
Mailing Telephone | 8054615212 |
Enumeration Date | 2013-08-13 |
Last Update Date | 2018-05-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 172V00000X | Community Health Worker | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4760 Sepulveda Blvd, Culver City, CA 902304820 | 3108952360 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144875600 | Robert Douglas Nelson | Counselor | 14040 480th St, Tamarack, MN 55787-4429 | 2019-08-01 |
1003056870 | Robert Nelson | Audiologist | 38620 Desert Mirage Dr, Palm Desert, CA 92260-0606 | 2009-03-05 |
1689844649 | Robert M. Nelson | Counselor | 1011 Page, Troy, NC 27371 | 2008-03-06 |
1891963922 | Robert Mark Nelson Sr. | Pharmacist | 8011 Ventura St Ne, Albuquerque, NM 87109-6429 | 2008-02-12 |
1851571194 | Robert R. Nelson | Pharmacist | 4500 Sunrise Hwy, Oakdale, NY 11769-1012 | 2007-11-03 |
1235332271 | Robert Howard Nelson | Family Medicine | 1309 Philomene Court, Carmichael, CA 95608 | 2007-06-07 |
1548386089 | Robert Elmer Nelson | Dentist | 170 Saint Andrews Rd, Saginaw, MI 48638-5938 | 2007-03-22 |
1104962638 | Robert Arnold Nelson | Ophthalmology | 30150 So Hwy One, Gualala, CA 95445 | 2007-01-30 |
1881759546 | Robert Marion Nelson | Pharmacist | 112 S 2nd Ave, Mc Rae, GA 31055-1539 | 2006-12-23 |
1316019763 | Robert A Nelson | Dentist | 1425 Offner Street, Portsmouth, OH 45662 | 2006-11-14 |
Street Address |
6500 MORRO RD STE D |
City | ATASCADERO |
State | CA |
Zip Code | 93422-4142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174671549 | Nationwide Medical Group, Inc | Clinic/Center | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2007-01-08 |
1073150793 | Saxen James Martin-jensen | Counselor | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2019-12-01 |
1013567130 | Kenneth George Hogue | Licensed Psychiatric Technician | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2019-09-19 |
1710534698 | Brooke Sorvig | Counselor | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2019-08-24 |
1497216444 | Sarah Anne Whitmore | Counselor | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2019-03-30 |
1023582079 | Brigit Lee Godfrey | Counselor | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2019-01-13 |
1932671344 | Marika Psoter | Counselor | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2018-12-24 |
1780155184 | Terri Ann Mccarthy | Counselor | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2018-12-10 |
1730669813 | Tina Marie Slane | Counselor | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2018-08-17 |
1548762909 | Cynthia Holly Conley | Counselor | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2018-03-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356903645 | Michael E Nevin | Licensed Psychiatric Technician | 6550 Morro Rd, Unit D, Atascadero, CA 93422 | 2019-07-08 |
1225495583 | Kelly Michelle Morrow | Counselor | 7130 Sombrilla Ave., Atascadero, CA 93422 | 2016-01-18 |
1609242817 | Cheyenne M Britton | Counselor | 9366 Ribereng Circle, Atascadero, CA 93422 | 2015-08-12 |
1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
1134548498 | Allison Muller | Counselor | 8000 Santa Rosa Road, Atascadero, CA 93422 | 2014-04-15 |
1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
1013341189 | Kimberly L Schwab | Counselor | 5575 Hospital Dr., Atascadero, CA 93422 | 2013-08-26 |
1982941274 | Krisitana Lynn Hatcher Miller | Counselor | 6312 Atascadero Ave, Atascadero, CA 93422 | 2013-01-07 |
1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
1083987523 | Kathryn Gaoiran Bartlett | Pharmacist | 8200 El Camino Real, Atascadero, CA 93422 | 2012-02-14 |
Find all providers in zip 93422 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558877399 | Cynthia Perry | Counselor | 13715 El Camino Real, Atascadero, CA 93422-6334 | 2017-12-15 |
1053825869 | Gina C Bernard Tretter | Counselor | 6500 Morro Rd # Cd, Atascadero, CA 93422-4142 | 2017-12-01 |
1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
1609272582 | Bryce Campbell Schubert | Counselor | 6500 Morro Rd Ste C&d, Atascadero, CA 93422-4142 | 2014-11-05 |
1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
1780999813 | Robert Kontoff | Counselor | 3518 El Camino Real, Atascadero, CA 93422-2531 | 2010-08-12 |
1780824748 | Denile Deanne Cooley | Counselor | 6500 Morro Road, Suite-d, Atascadero, CA 93422 | 2009-03-03 |
1093914152 | Sandy Lea Wortley | Counselor | 2000 Traffic Way, Atascadero, CA 93422-1523 | 2007-07-17 |
1346390994 | Kristin Caroline Ford | Counselor | 6500 Morro Rd, Atascadero, CA 93422-4142 | 2007-01-12 |
1770100273 | Zachary Williams | Counselor | 6500 Morro Rd, Atascadero, CA 93422-4142 | 2020-06-30 |
Find all providers in ATASCADERO |
City | ATASCADERO |
Zip Code | 93422 |
Please comment or provide details below to improve the information on ROBERT GRAYDON NELSON.
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.