Mary Catherine Nichols, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021148-1 Issued in NY

Practice address

6339 Mill St
Rhinebeck, NY 12572-1427

Phone

(845) 871-1521

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anderson Center Services Inc

  • Developmental Disabilities Clinic/Center
  • Staatsburg, NY
  • NPI 1205185196
  NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1184763492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 COUNTRY CLUB DR",
            "city": "MOUNT MARION",
            "state": "NY",
            "postal_code": "124566004",
            "telephone_number": "845-232-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 MILL ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721427",
            "telephone_number": "845-871-1521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Northwest Dr",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "CT",
            "postal_code": "060621534",
            "country_code": "US",
            "telephone_number": "860-793-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Marion",
            "state": "NY",
            "postal_code": "124566004",
            "country_code": "US",
            "telephone_number": "845-232-8114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021148-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynne Murray, FNP-BC, FNP-C, RN
• Roland Michael Naglieri, DMD
• Nikki Joanne Bulanadi Natividad, MD
• NDP Ambulance Services LLC
• Andrew Vien Nguyen, DO, MPH
• Jean-Marie Niebuhr, LCSW
• Jeanette Eva Nilsson, LPN
• Nancy Jean Nissen
• Northern Dutchess ENT PLLC
• Northern Dutchess Hospital

• Clinical Psychologist in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.