DR. SAMUEL CHRISTOPHER NELSON PHD
NPI 1417835125
Psychologist in Kansas City, MO

Active since August 22, 2025PECOS Enrolled
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139(816) 404-7000 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Dr. Samuel Christopher Nelson Phd NPPES

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

DR. SAMUEL CHRISTOPHER NELSON PHD (NPI 1417835125) is an individual psychologist in Kansas City, Missouri, licensed in Missouri (2025035536) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417835125
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SAMUEL CHRISTOPHER NELSONCredential: PHD
Location Address7900 LEES SUMMIT RDKansas City, MO 64139-1236
Mailing Address3826 Forest AveKansas City, MO 64109-2645 · (913) 940-1302
Sole ProprietorNo
Enumeration DateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1417835125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MO · 2025035536
Definition
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.
7900 LEES SUMMIT RD, Kansas City, MO 64139

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Christopher Nelson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Podiatrist (Foot & Ankle Surgery)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Dentist (General Practice)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Physical Medicine & Rehabilitation
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Student in an Organized Health Care Education/Training Program
7900 LEES SUMMIT RD, FAMILY MEDICINE RESIDENCY OFFICE
KANSAS CITY, MO 64139
Family Medicine (Sports Medicine)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Student in an Organized Health Care Education/Training Program
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Student in an Organized Health Care Education/Training Program
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Advanced Practice Midwife
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139

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 Samuel Nelson's NPI number?

The NPI number for Samuel Nelson is 1417835125. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Samuel Nelson located?

Samuel Nelson practices at 7900 Lees Summit Rd, Kansas City, MO 64139. The listed phone number is (816) 404-7000.

What is Samuel Nelson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Samuel Nelson enrolled in Medicare?

Yes. Samuel Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Nelson was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.