Nicholson Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NICHOLSON PSYCHIATRY, PLLC

Practice address

11711 SE 8TH St Ste 315
Bellevue, WA 98005-3543

Phone

(425) 245-5240

Fax

(425) 962-8788

NPI assigned

Dec 29, 2020

Reactivated

Mar 17, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeanne Frances Nicholson, ARNPNPI 1568941706

Title

Owner

Phone

(425) 245-5240

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne Frances Nicholson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1568941706
  Medicare reassignment NPD Authorized official
• Carole Anne Coryell, M.S. , PH.D

  • Psychologist
  • Bellevue, WA
  • NPI 1558409136
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1033706601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5268",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365475268",
            "telephone_number": "425-414-9720",
            "fax_number": "425-962-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 SE 8TH ST STE 315",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053543",
            "telephone_number": "425-245-5240",
            "fax_number": "425-962-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLSON PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "deactivation_date": "2022-03-03",
        "reactivation_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-245-5240",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Koogler DDS PLLC
• Mathew A Nicholls, MD
• Ryan Nichols M.Div., Sudp, SUDP
• Karen D. Nichols, PH.D.
• Quinn Emily Nichols
• Jeanne Frances Nicholson, PMHNP-BC
• Sara Woods Nied, MA, LMHCA
• Robert Paul Niedbalski, D.O.
• Emilia Nielsen, BA
• Jennifer Nielsen, RN

• Psychiatric/Mental Health Nurse Practitioner in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.