KRISTIE A NELSON PH.D.
NPI 1457656258
Psychologist in Modesto, CA

Active since January 26, 2011PECOS EnrolledAccepts Medicare Assignment
500 N 9TH ST, SUITE A, MODESTO, CA 95350(209) 527-4597 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2017, Sep 12, 2017, Feb 16, 2016 (3 updates tracked since 2016).

About Kristie A Nelson Ph.d. NPPES

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

KRISTIE A NELSON PH.D. (NPI 1457656258) is an individual psychologist in Modesto, California, licensed in California (PSY29568) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457656258
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKRISTIE A NELSONCredential: PH.D.
Location Address500 N 9TH ST, SUITE AModesto, CA 95350-5814
Mailing Address500 N 9th St, Suite AModesto, CA 95350-5814 · (209) 604-9682
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 26, 2011
Last NPPES UpdateNovember 2, 20173 updates tracked since enumeration
NPI 1457656258 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 CA · PSY29568
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.
500 N 9TH ST, Modesto, CA 95350

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristie A Nelson Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890052625
PECOS Enrollment IDI20171208000293
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.

Specialist
500 N 9TH ST, SUITE B
MODESTO, CA 95350
Social Worker
500 N 9TH ST, SUITE B
MODESTO, CA 95350
Registered Nurse (Psychiatric/Mental Health)
500 N 9TH ST
MODESTO, CA 95350
Case Manager/Care Coordinator
500 N 9TH ST
MODESTO, CA 95350
Community/Behavioral Health
500 N 9TH ST
MODESTO, CA 95350
Counselor
500 N 9TH ST, SUITE B
MODESTO, CA 95350
Case Manager/Care Coordinator
500 N 9TH ST, SUITE C
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
500 N 9TH ST, SUITE B
MODESTO, CA 95350

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 Kristie Nelson's NPI number?

The NPI number for Kristie Nelson is 1457656258. It was assigned to this individual provider in the NPPES registry on January 26, 2011.

Where is Kristie Nelson located?

Kristie Nelson practices at 500 N 9th St Suite A, Modesto, CA 95350. The listed phone number is (209) 527-4597.

What is Kristie Nelson's specialty?

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

Is Kristie Nelson enrolled in Medicare?

Yes. Kristie Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kristie Nelson was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.