Individual provider Active NPI

Nicha Amy Nasamran, PH.D.

  • Clinical Psychologist
  • Lansing, MI
National Provider Identifier
1154952224
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301018046 Issued in MI
Practice address
2929 Covington CT Unit 201
Lansing, MI 48912-4940
Phone
(517) 258-2424
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301018046 MI
School Psychologist 103TS0200X 6301018046 MI
Clinical Psychologist 103TC0700X 6301018046 MI Primary

Addresses

Primary practice location

2929 Covington CT Unit 201
Lansing, MI 48912-4940

Mailing address

2929 Covington CT Unit 201
Lansing, MI 48912-4940
Phone (517) 258-2424

Other practice location 1

2720 Alpha Access St Ste D
Lansing, MI 48910-3608
Phone (517) 258-2424

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301018046MIMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Psychology LLC Clinical Current Accepting new patients

Locations

2929 Covington Ct
Unit 201
Lansing, MI 48912
Phone (517) 371-4971

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1154952224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 COVINGTON CT UNIT 201",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124940",
            "telephone_number": "517-258-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 COVINGTON CT UNIT 201",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124940",
            "telephone_number": "517-258-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Alpha Access St Ste D",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489103608",
            "country_code": "US",
            "telephone_number": "517-258-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASAMRAN",
        "first_name": "NICHA",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018046",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MI",
            "license": "6301018046",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.