DR. PAULINE NELSON PSY.D.
NPI 1396879417
Psychologist - Clinical in New York, NY

Q: What is Pauline Nelson's NPI number?

The NPI number for Pauline Nelson is 1396879417. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is Pauline Nelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Pauline Nelson enrolled in Medicare?

No. Pauline Nelson has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Pauline Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2007Opted out of Medicare · through Oct 1, 2026

19 W 34TH ST, PENTHOUSE, NEW YORK, NY 10001(646) 483-1779 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Pauline Nelson Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAULINE NELSON PSY.D. (NPI 1396879417) is an individual clinical provider in New York, New York, licensed in New York (015653) and active in the NPI registry since March 2007. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1396879417

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PAULINE NELSONCredential: PSY.D.

Location Address19 W 34TH ST, PENTHOUSENew York, NY 10001-3006

Mailing Address205 Pinehurst Ave, 2kNew York, NY 10033-1848 · (646) 483-1779

Phone(646) 483-1779

Sole ProprietorYes

Enumeration DateMarch 14, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396879417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 015653

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

19 W 34TH ST, New York, NY 10001

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Pauline Nelson Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN POELVOORDE LCSW PC

Social Worker (Clinical)

19 W 34TH ST, PENTHOUSE
NEW YORK, NY 10001

New York County (646) 473-0138

KERIN NADLER LCAT, BC-DMT

Dance Therapist

19 W 34TH ST, PENTHOUSE
NEW YORK, NY 10001

New York County (917) 597-8055

MS. LIBBY ANN SHAPIRO LCAT, MT-BC

Art Therapist

19 W 34TH ST
NEW YORK, NY 10001

New York County (917) 622-6371

MR. JACOB GERSHONI

Social Worker (Clinical)

19 W 34TH ST, SUITE PH
NEW YORK, NY 10001

New York County (212) 795-1192

MR. ROGER BACHRACH LMHC , LMSW

Counselor (Mental Health)

19 W 34TH ST, PENTHOUSE
NEW YORK, NY 10001

New York County (917) 902-9203

DR. PETER JOHN ROSAN PH. D.

Psychologist (Clinical)

19 W 34TH ST, PENTHOUSE
NEW YORK, NY 10001

New York County (718) 753-9400

ASHLEY YERIM CHOI

Social Worker (Clinical)

19 W 34TH ST
NEW YORK, NY 10001

New York County (347) 625-5020

DR. ISRAEL ROMANO PH.D.

Psychologist (Clinical)

19 W 34TH ST
NEW YORK, NY 10001

New York County (917) 292-5462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pauline Nelson's NPI number?

The NPI number for Pauline Nelson is 1396879417. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Pauline Nelson located?

Pauline Nelson practices at 19 W 34th St Penthouse, New York, NY 10001. The listed phone number is (646) 483-1779.

What is Pauline Nelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Pauline Nelson enrolled in Medicare?

No. Pauline Nelson has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Pauline Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.