LINDA D NELSON (PH.D., ABPN) – Psychologist, NPI 1366483489

LINDA D NELSON (PH.D., ABPN) is a healthcare provider. based in Los angeles, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D., ABPN. They hold a License No. PSY10688 (CA). The NPI Number for LINDA D NELSON (PH.D., ABPN) is 1366483489

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
LINDA D NELSON (PH.D., ABPN)
NPI
1366483489
Phone
(310) 825-6429
Address
5767 W CENTURY BLVD
Enumeration Date
9 June 2006
Last Update Date
30 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3104584581
Graduation Year
1986 (40 years ago)
PAC ID
5890741433
Professional Enrollment ID
I20050325000566
Address ID
CA904035092SA1137XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for LINDA D NELSON (PH.D., ABPN)

  • 5767, West Century Boulevard, Westchester, Los Angeles, Los Angeles County, California, 90045, United States

    SUITE 200

    LOS ANGELES, CA 900455632

    Phone: (310) 825-6429

    Fax: (310) 206-5061

    Type: Mailing

  • 35, South Raymond Avenue, Pasadena Council District 6, Pasadena, Los Angeles County, California, 91105, United States

    SUITE 304

    PASADENA, CA 911051931

    Phone: (626) 304-9960

    Fax: (626) 304-9995

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050325000566IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90045)

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Reviews

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Frequently asked questions

What NPI should I save for LINDA D NELSON (PH.D., ABPN)?
Save NPI 1366483489 if you need a stable reference for LINDA D NELSON (PH.D., ABPN).
Is LINDA D NELSON (PH.D., ABPN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LINDA D NELSON (PH.D., ABPN) list a primary specialty?
If you are matching referrals, note Psychologist for LINDA D NELSON (PH.D., ABPN). Clinical services aligned with this taxonomy classification.
Where is LINDA D NELSON (PH.D., ABPN)'s primary listing?
We display Los Angeles, California because that is what the record indicates for LINDA D NELSON (PH.D., ABPN).
How can I contact LINDA D NELSON (PH.D., ABPN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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