DR. TIESHA SIMONA NELSON PSY.D.
NPI 1548407919
Psychologist in Sunrise, FL

Active since January 07, 2009PECOS Enrolled
8360 W OAKLAND PARK BLVD STE 303, SUNRISE, FL 33351(954) 546-4677(941) 328-3575 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 6, 2022, Nov 13, 2018 (2 updates tracked since 2018).

About Dr. Tiesha Simona Nelson Psy.d. NPPES

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

DR. TIESHA SIMONA NELSON PSY.D. (NPI 1548407919) is an individual psychologist in Sunrise, Florida, licensed in Florida (PY 7781) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548407919
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TIESHA SIMONA NELSONCredential: PSY.D.
Location Address8360 W OAKLAND PARK BLVD STE 303Sunrise, FL 33351-7339
Mailing Address8360 W Oakland Park Blvd Ste 303Sunrise, FL 33351-7339 · (954) 546-4677 · Fax (954) 246-4996
Fax(941) 328-3575
Sole ProprietorNo
Enumeration DateJanuary 7, 2009
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2021
NPI 1548407919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY 7781
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.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PY7781 (FL)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY7781 (FL)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License PY7781 (FL)
8360 W OAKLAND PARK BLVD STE 303, Sunrise, FL 33351

Other Identifiers 1

Medicaid106660500FL

Accepted Insurance

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. Tiesha Simona Nelson Psy.d. 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.

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 Tiesha Nelson's NPI number?

The NPI number for Tiesha Nelson is 1548407919. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Tiesha Nelson located?

Tiesha Nelson practices at 8360 W Oakland Park Blvd Ste 303, Sunrise, FL 33351. The listed phone number is (954) 546-4677.

What is Tiesha Nelson's specialty?

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

Is Tiesha Nelson enrolled in Medicare?

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

What insurance does Tiesha Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tiesha Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiesha Nelson was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.