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DR. CASEY NELSON PSY.D.
NPI 1750509667
Psychologist - Clinical in Fort Wayne, IN

Active since April 23, 2007
1515 MAGNAVOX WAY, FORT WAYNE, IN 46804(260) 408-1085 Get Directions Write a Review

NPPES record last updated: December 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Casey Nelson Psy.d. NPPES

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

DR. CASEY NELSON PSY.D. (NPI 1750509667) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (20041856A) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1750509667
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CASEY NELSONCredential: PSY.D.
Location Address1515 MAGNAVOX WAYFort Wayne, IN 46804-1533
Mailing Address1515 Magnavox WayFort Wayne, IN 46804-1533
Phone(260) 408-1085
Sole ProprietorNo
Enumeration DateApril 23, 2007
Last NPPES UpdateDecember 12, 2008
✔ NPI 1750509667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 20041856A
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.
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 20041856A (IN)
1515 MAGNAVOX WAY, Fort Wayne, IN 46804
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Other Identifiers 2

Other200501870IN · Medicaid Wavier
Medicaid200500290IN

Other Providers at the Same Location NPPES 3

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

PEJUS, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1515 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 459-1551
YOUR FRIENDS & NEIGHBORS, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1515 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 459-1551
PEJUS, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1515 MAGNAVOX WAY
FORT WAYNE, IN 46804
Allen County (260) 459-1551

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 Casey Nelson's NPI number?

The NPI number for Casey Nelson is 1750509667. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Casey Nelson located?

Casey Nelson practices at 1515 Magnavox Way, Fort Wayne, IN 46804. The listed phone number is (260) 408-1085.

What is Casey Nelson'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 Casey Nelson was last updated on December 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.