Individual provider Active NPI

Nicole Ann Hollingshead, PHD

  • Psychologist
  • New Albany, OH
National Provider Identifier
1114411733
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P.07734 Issued in OH
Practice address
150 W Main St FL 2
New Albany, OH 43054-9229
Phone
(614) 293-9600
Fax
(614) 366-1215
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P.07734 OH Primary

Addresses

Primary practice location

150 W Main St FL 2
New Albany, OH 43054-9229

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925000968 OH Practitioner - Clinical Psychologist 2961753371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Psychiatry LLCGroup PAC ID 0749272714, 135 clinicians

Practice addresses (Care Compare)

1670 Upham Dr
Columbus, OH 43210-1250
Phone (614) 293-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P.07734OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Psychiatry, LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1670 Upham Dr
Columbus, OH 43210
Phone (614) 293-4540

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

150 W Main St
Fl 2
New Albany, OH 43054
Phone (614) 293-3693

1800 Zollinger Rd
Fl 5
Upper Arlington, OH 43221
Phone (614) 293-2700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1114411733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-9600",
            "fax_number": "614-366-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W MAIN ST FL 2",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549229",
            "telephone_number": "614-293-9600",
            "fax_number": "614-366-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSHEAD",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.07734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.