Wyatt L. Nichols, PH.D., PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P866 Issued in TN

Legal business name

WYATT L. NICHOLS, PH.D., PC

Practice address

8142 Country Village Dr Ste 102
Cordova, TN 38016-2029

Phone

(901) 388-1893

Fax

(901) 388-1995

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Wyatt Lee Nichols, PHD

Title

Owner

Phone

(901) 388-1893

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geraldine Bishop, PHD

  • Clinical Psychologist
  • Cordova, TN
  • NPI 1851583447
  NPD (past)
• Carolyn C Martin, PHD

  • Psychologist
  • Cordova, TN
  • NPI 1710906466
  NPD (past)
• Nanetta R. Walls, PHD

  • Clinical Psychologist
  • Memphis, TN
  • NPI 1801966916
  NPD (past)

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1356715445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8142 COUNTRY VILLAGE DR STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162029",
            "telephone_number": "901-388-1893",
            "fax_number": "901-388-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8142 COUNTRY VILLAGE DR STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162029",
            "telephone_number": "901-388-1893",
            "fax_number": "901-388-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT L. NICHOLS, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-388-1893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P866",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "TN",
            "license": "P866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bruce Wright, M.D.
• Hannah Wright, PHARMD
• Jada Wright, OTR/L
• Monica L Wright, MD
• Tyisha Wright
• Xpeditedcare LLC
• Xu Clinic Acupuncture & Herbal Pharmacy, P.C.
• Endong Xu
• Aida Xue, RBT
• Jian Yan, M.D.;PHD

• Clinical Psychologist in Cordova, TN
• Providers in Cordova, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.