Nicole Amai Short, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5901 Issued in NC

Practice address

410 Market St Ste 362
Chapel Hill, NC 27516-4061

Phone

(984) 974-6688

NPI assigned

May 13, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: nshort578955@direct.unc.nchie.net

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1427622679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211B W CAMERON AVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MARKET ST STE 362",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164061",
            "telephone_number": "984-974-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "NICOLE",
        "middle_name": "AMAI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshort578955@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CDA/CCD/TXT",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 Market St Ste 362",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275164061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Gardner Shoemaker, PSY.D.
• Ayumi Shoji, DD, PHD
• Phillip Sholes, M.D.
• Christine Shooter, FNP
• Andrew Short, PHD
• Samuel Short, MD
• Poojan Shrestha
• Mayank Shrivastava, BDS, MDS
• Deepti Anil Shroff, DMD
• Hersh Shroff

• Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.