Tiesha Simona Nelson, PSY.D.
NPI 1548407919ActiveIndividual· Psychologist· Sunrise, FL
Psychologist (PSY.D.) in Sunrise, Florida, licensed in FL, with an NPI issued in January 2009. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1548407919 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Jan 7, 2009 |
| Last updated in NPPES | Jan 6, 2022 |
| Certified by provider | Feb 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY 7781 | FL |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | PY7781 | FL |
| Psychologist, Clinical | 103TC0700X | PY7781 | FL |
| Psychologist, Forensic | 103TF0200X | PY7781 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (FL) |
|---|
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