KELLIE E NISSEN PSYD
NPI 1669023750
Psychologist - Clinical in Oakland, CA

Q: What is Kellie Nissen's NPI number?

The NPI number for Kellie Nissen is 1669023750. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Q: What is Kellie Nissen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellie Nissen was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since September 20, 2019

451 51ST ST, OAKLAND, CA 94609(860) 878-0350 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Kellie E Nissen Psyd NPPES

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

KELLIE E NISSEN PSYD (NPI 1669023750) is an individual clinical provider in Oakland, California, licensed in California (35141) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1669023750

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLIE E NISSENCredential: PSYD

Location Address451 51ST STOakland, CA 94609-2143

Mailing Address451 51st StOakland, CA 94609-2143 · (860) 878-0350

Phone(860) 878-0350

Sole ProprietorYes

Enumeration DateSeptember 20, 2019

Last NPPES UpdateAugust 28, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1669023750 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 CA · 35141

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.

451 51ST ST, Oakland, CA 94609

Open in Google Maps ↗

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 Kellie Nissen's NPI number?

The NPI number for Kellie Nissen is 1669023750. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Kellie Nissen located?

Kellie Nissen practices at 451 51st St, Oakland, CA 94609. The listed phone number is (860) 878-0350.

What is Kellie Nissen's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Nissen was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.