Active NPI
Angela Ann Nickell, M.A.
- School Psychologist
- Xenia, OH
National Provider Identifier
1376793463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 02266
- Practice address
- 819 Colorado Dr
Xenia, OH 45385-4859 - Phone
- (937) 526-9706
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4047407 | AZ | |
| School Psychologist | 103TS0200X | 02266 | OH | Primary |
Addresses
Primary practice location
819 Colorado Dr
Xenia, OH 45385-4859
Mailing address
4317 Napa Valley Dr
Bellbrook, OH 45305-1567
Phone (937) 562-9706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4047407 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1376793463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 NAPA VALLEY DR",
"city": "BELLBROOK",
"state": "OH",
"postal_code": "453051567",
"telephone_number": "937-562-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 COLORADO DR",
"city": "XENIA",
"state": "OH",
"postal_code": "453854859",
"telephone_number": "937-526-9706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKELL",
"first_name": "ANGELA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "4047407",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "02266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.