Individual ProviderNelly NassarPsychologistBehavioral Health & Social Service ProvidersPractice Address771 E Daily Dr Ste 310, Camarillo, CA 93010-0784(805) 507-5549PECOS EnrollmentBased on the most recent information from CMS, provider Nelly Nassar is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1932358264Provider TypeIndividualFull NameNassar, NellyGenderFemaleSole ProprietorNoEnumeration Date9/10/2008Last Updated5/12/2025Contact InformationPractice LocationPractice Address771 E Daily Dr Ste 310, Camarillo, CA 93010-0784Phone(805) 507-5549FaxUnlisted FaxMailing LocationMailing Address771 E Daily Dr Ste 310, Camarillo, CA 93010-0784Phone(805) 507-5549FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicensePSY23313CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer