Nicole Michele Barakat, PSY.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1647 Issued in SC

Practice address

9841 Ocean Hwy Ste B
Pawleys Island, SC 29585-7996

Phone

(843) 481-0725

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nicole M Brandi Former name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Learning Curve Child and Family Psychology

  • School Psychologist
  • Surfside Beach, SC
  • NPI 1174347611
  NPD Authorized official
• Black River Counseling LLP

  • Clinical Social Worker
  • Pawley's Island, SC
  • NPI 1770986457
  NPD (past)
• Community Council of Nashua NH

  • Community/Behavioral Health Agency
  • Nashua, NH
  • NPI 1992987051
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1417136573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5294 STOCKYARD LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295888048",
            "telephone_number": "201-539-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 OCEAN HWY STE B",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857996",
            "telephone_number": "843-481-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAKAT",
        "first_name": "NICOLE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BRANDI",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "MA, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emalee Jean Baker
• Stephen Randall Baker, N.C. LIC #788
• Elizabeth Baldwin
• Mark McAllister Ballard, CRNA
• Bruce K Barach, MD
• Jennifer Lyn Batton
• Beachy Dental Pi LLC
• Acton Barnwell Beard, LPC, LPCS, EDS
• James Alexander Beard, MA
• Bella Vita Wellness LLC

• School Psychologist in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• School Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.