Ann V Nicholson, RNCS, RNPC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

90943 Issued in MA

Practice address

7 Christy Dr
Suite 3
Brockton, MA 02301-1813

Phone

(508) 580-4611

NPI assigned

Dec 18, 2006

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

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Westside Behavioral Health, LLCGroup PAC ID 5395827711, 14 clinicians

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.

• Westside Behavioral Health, LLC

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1689720302

  MA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295898690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHRISTY DR",
            "address_2": "SUITE 3",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011813",
            "telephone_number": "508-580-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHRISTY DR",
            "address_2": "SUITE 3",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011813",
            "telephone_number": "508-580-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ANN",
        "middle_name": "V",
        "credential": "RNCS, RNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "90943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pho Nguyen, M.D.
• Trang Thanh Nguyen, DMD
• William Nguyen, D.M.D
• Emily Elizabeth Nichols, COTA
• Leigh Ann Nichols, MS SLP MA SLP LIC
• Warren Russell Nickerson, MD
• Carl Gerald Nicolas
• Cristiana Nicoli de Mattos, MD, PHD
• Iris Magaly Nieves, BA
• Elena B Nikolskaia, M.D.

• All providers in Brockton, MA
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.