Active NPI
Nickolas Sloan Huston
- Health Service Psychologist
- Barstow, CA
National Provider Identifier
1043844459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- F5775801
- Practice address
- 2371 W Main St SPC 57
Barstow, CA 92311-3614 - Phone
- (909) 963-6044
- NPI assigned
- Feb 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | F5775801 | CA | Primary |
Addresses
Primary practice location
2371 W Main St SPC 57
Barstow, CA 92311-3614
Mailing address
2371 W Main St SPC 57
Barstow, CA 92311-3614
Phone (909) 963-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F5775801 | CA | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1043844459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2371 W MAIN ST SPC 57",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113614",
"telephone_number": "909-963-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2371 W MAIN ST SPC 57",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113614",
"telephone_number": "909-963-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSTON",
"first_name": "NICKOLAS",
"middle_name": "SLOAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CA",
"license": "F5775801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.