Patrick James Nicholas

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1910 Issued in KS

Practice address

1035 Vermont St
Suite C
Lawrence, KS 66044-2921

Phone

(785) 764-2121

NPI assigned

Jul 1, 2009

Sex

Male

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

Enrolled in KS

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Patrick Nicholas, Psy.D., LLC

  • Psychologist
  • Lawrence, KS
  • NPI 1881995744
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1205064953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 VERMONT ST",
            "address_2": "SUITE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442921",
            "telephone_number": "785-764-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 VERMONT ST",
            "address_2": "SUITE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442921",
            "telephone_number": "785-764-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Scott Newton, LMSW
• Nexgen Home Health LLC
• Dennis Nguutu, PHARMD
• Khanh Van Nguyen
• Quang My Nguyen
• Callie Marie Nichols
• Jeff Smith Nichols, M.D.
• Lorraine Nichols, D.O.
• Cheyenne Nickelson, PT, DPT
• Suzanne Nicolet, LMSW

• Clinical Psychologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.