MR. REGINAL GENE NELSON (PSY) – Psychologist, NPI 1568422897

MR. REGINAL GENE NELSON (PSY) is a healthcare provider. based in King of prussia, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. They hold a License No. PS015506 (PA). The NPI Number for MR. REGINAL GENE NELSON (PSY) is 1568422897

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. REGINAL GENE NELSON (PSY)
NPI
1568422897
Phone
(610) 313-8866
Address
413 HILLSIDE RD
Enumeration Date
23 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6105442110
Graduation Year
2002 (24 years ago)
PAC ID
5092036277
Group Practice PAC ID
9436502879
Professional Enrollment ID
I20150601001721
Address ID
PA196101799WY560XXRDXX405
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

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Provider Addresses for MR. REGINAL GENE NELSON (PSY)

  • 413, Hillside Road, Valley Forge Acres, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States

    KING OF PRUSSIA, PA 194063127

    Phone: (610) 313-8866

    Fax: (610) 323-1406

    Type: Mailing

  • 634, King Street, Hanover Court, Pottstown, Montgomery County, Pennsylvania, 19464, United States

    POTTSTOWN, PA 194645743

    Phone: (610) 323-8866

    Fax: (610) 323-1406

    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: 2015-06-01

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
I20150601001721IClinical PsychologistPATBD

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 19406)

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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: 9436502879View full group profile
NameSpecialtyState
Clinical PsychologistPA
Nurse PractitionerPA
Nurse PractitionerRI
Clinical Social WorkerCT
Clinical PsychologistPA
Mental Health CounselorPA
Mental Health CounselorCT
Mental Health CounselorPA
Clinical Social WorkerCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

What unique ID ties claims to MR. REGINAL GENE NELSON (PSY)?
NPI 1568422897 is assigned to MR. REGINAL GENE NELSON (PSY) under the national enumeration system.
Is MR. REGINAL GENE NELSON (PSY)'s NPI currently valid?
The extract we use shows MR. REGINAL GENE NELSON (PSY) as active.
What field does MR. REGINAL GENE NELSON (PSY) work in?
You can think of MR. REGINAL GENE NELSON (PSY) as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
Does MR. REGINAL GENE NELSON (PSY) practice in Pennsylvania?
You will see King Of Prussia, Pennsylvania on file for MR. REGINAL GENE NELSON (PSY) alongside any extra practice locations.
Is MR. REGINAL GENE NELSON (PSY) a real provider?
This page reflects official NPPES data for NPI 1568422897. Always confirm identity and privileges with the practice and licensing boards.

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