DR. ERIK D. NELSON (PSY.D.) – Clinical Psychologist, NPI 1174594568

DR. ERIK D. NELSON (PSY.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 6292 (MA). The NPI Number for DR. ERIK D. NELSON (PSY.D.) is 1174594568

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIK D. NELSON (PSY.D.)
NPI
1174594568
Phone
(508) 363-4664
Address
202 RUSSELL ST
Enumeration Date
1 February 2006
Last Update Date
19 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087535554110
Graduation Year
1990 (36 years ago)
PAC ID
5193816585
Group Practice PAC ID
3779818828
Professional Enrollment ID
I20070815000013
Address ID
MA016041689WO435XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. ERIK D. NELSON (PSY.D.)

  • 202, Russell Street, Hammond Heights, Worcester, Worcester County, Massachusetts, 01609, United States

    WORCESTER, MA 016092265

    Phone: (508) 363-4664

    Fax: (508) 752-7245

    Type: Mailing

  • 435 SHREWSBURY ST

    WORCESTER, MA 01604

    Phone: (508) 363-4664

    Fax: (508) 752-7245

    Type: Mailing

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: 2007-08-15

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
I20070815000013IClinical PsychologistMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes31619$0
View full utilization report →

Insurance plans in this area (ZIP 01609)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779818828View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Mental Health CounselorMA
Nurse PractitionerMA
Nurse PractitionerMA
P S Y C H I A T R YMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerNH

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ERIK D. NELSON (PSY.D.)'s NPI?
Yes. DR. ERIK D. NELSON (PSY.D.) is listed with NPI 1174594568 in the public NPI dataset.
Is DR. ERIK D. NELSON (PSY.D.) listed as active for patients and plans?
The listing shows DR. ERIK D. NELSON (PSY.D.) as active in the NPI system.
What is DR. ERIK D. NELSON (PSY.D.)'s specialty?
The listing groups DR. ERIK D. NELSON (PSY.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ERIK D. NELSON (PSY.D.)?
DR. ERIK D. NELSON (PSY.D.)'s geographic hint is Worcester, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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