Nicole Van Ness, PSYD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

604 Candlewood Rd
Fort Worth, TX 76103-1112

Phone

(858) 356-7444

NPI assigned

Sep 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1114176732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CANDLEWOOD RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031112",
            "telephone_number": "858-356-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CANDLEWOOD RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031112",
            "telephone_number": "858-356-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NESS",
        "first_name": "NICOLE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Van Cleave, FNP-C
• Paul L Van de Vyver, MD
• Kent Ross Van Donge, MD
• Van Dyck Home Care Enterprises, LLC
• Van Dyck Hospice Enterprises LLC
• Olivia Van Ness, MCRC, CRC, LPC
• Laura Beth Van Noy, H.I.S.
• Julie Van Orne, PHD, RN, CPN, CNL
• Alexis Van Pelt
• Megan McBroom Van Wart, MS, ATC, LAT

• Marriage & Family Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.