Shelly Nicol, PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SHELLY NICOL, PSYD LLC

Practice address

4631 SE 62ND Ave
Portland, OR 97206-4603

Phone

(808) 381-5834

NPI assigned

Sep 25, 2026

Last updated

Sep 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelly Nicol, PSYD

Title

Psychologist

Phone

(808) 381-5834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1083527360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 SE 62ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064603",
            "telephone_number": "808-381-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY NICOL, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-381-5834",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Shell, LMT
• Julia F Shellhorn, ARNP
• Shellmire Unlimited
• Shellmire Unlimited, P.C.
• Ray A. Shellmire, LCSW
• Alexander Christian Shelton
• Jonicia Shelton
• Joshua Lance Shelton, LMT
• Kirsten Shelton
• Meghan Shelton

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.