Terry M Nicotra, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3352 Issued in NC

Practice address

180 Providence Rd
Suite 7
Chapel Hill, NC 27514-2206

Phone

(919) 360-0254

Fax

(919) 286-1121

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1275615866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PROVIDENCE RD",
            "address_2": "SUITE 7",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142206",
            "telephone_number": "919-360-0254",
            "fax_number": "919-286-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PROVIDENCE RD",
            "address_2": "SUITE 7",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142206",
            "telephone_number": "919-360-0254",
            "fax_number": "919-286-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOTRA",
        "first_name": "TERRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 17570",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Volker Nickeleit, MD
• Laura Nickles, P.T.
• David S Nicol, D.C.
• Sarah Jane Bigelow Nicol
• Emily Ann Nicolai, MS, RD
• Michael Nidel, M.D.
• Siera Mlo Nie, LCSWA
• Rachel Niehuus, MD, PHD
• Matthew Edward Nielsen, M.D.
• Elizabeth Lewis Nieman, MD

• Clinical Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.