Nicole Tacoma, PSYD, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NICOLE TACOMA, PSYD, PC

Doing business as

Tacoma and Associates, PC

Practice address

17940 Farmington Rd Ste 220
Livonia, MI 48152-3185

Phone

(248) 987-0654

NPI assigned

Aug 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Tacoma, PSYDNPI 1629391651

Title

Licensed Psychologist

Phone

(248) 987-0654

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tacoma and Associates, PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole D Tacoma, PSY.D, LP

  • Clinical Psychologist
  • Livonia, MI
  • NPI 1629391651
  NPD Authorized official

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1114692506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29020 RAMBLEWOOD DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD STE 220",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523185",
            "telephone_number": "248-987-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE TACOMA, PSYD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "TACOMA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-987-0654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1629391651",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma and Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tri N Nguyen, CCP
• Kaitlyn Nicholas
• Andrea Nichols
• Carly Nichols
• Kandace Nickelberry
• George Michael Nicoloff, M.D.
• Reilly Mackenna Niesz, MA, TLLP
• Adrienne Nightingale
• Joseph B Niman
• Sanford Jay Nitzkin, DDS

• Clinical Psychologist in Livonia, MI
• Providers in Livonia, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.