Christine M. Nicholson, P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00003423 Issued in WA

Legal business name

CHRISTINE M. NICHOLSON, P.A.

Doing business as

Christine M. Nicholson, Inc.

Practice address

530B N 5TH Ave
Sequim, WA 98382-3079

Phone

(360) 683-4845

Fax

(425) 285-9344

NPI assigned

Nov 1, 2007

Last updated

Dec 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine Marie Nicholson, PH.D.NPI 1972613115

Title

President

Phone

(360) 683-4845

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christine M. Nicholson, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Marie Nicholson, PH.D.

  • Psychologist
  • Sequim, WA
  • NPI 1972613115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1407035926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 NE 117TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347031",
            "telephone_number": "360-683-4845",
            "fax_number": "425-285-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530B N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823079",
            "telephone_number": "360-683-4845",
            "fax_number": "425-285-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE M. NICHOLSON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-683-4845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000N6325",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christine M. Nicholson, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Chen, OD
• Monique Chhabra
• Corey S Chin, LMT
• Suree Chommuang, ARNP
• Fangaeo Chowsoun
• Wiley James Chubb, LMT
• Theresa Ann Churchill, EAMP
• Gina L Ciarlo, LMP.
• Clallam County FD 3
• Amy Anne Clark, PTA

• Psychologist in Sequim, WA
• Providers in Sequim, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.