Tiffany Alisha Nickie-Hull, PSY.D., LMHC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS02013 Issued in RI

Practice address

1160 Dublin Rd Ste 400
Columbus, OH 43215-1052

Phone

(860) 788-6404

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, IA, RI, VA, WV5 enrollments

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 5

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Meditelecare of West Virginia PLLCGroup PAC ID 5496018509, 18 clinicians

Medoptions of Ohio LLCGroup PAC ID 5799064515, 2 clinicians

Meditelecare of Iowa PLLCGroup PAC ID 0446512503, 5 clinicians

Meditelecare of Virginia LLCGroup PAC ID 2163785973, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Center Nursing home, South Charleston, WV, CCN 515169

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Medoptions of Ohio LLC

  • Psychiatry Physician
  • Columbus, OH
  • NPI 1629428974

  Clinical

  Medicare reassignment Care Compare group NPD
• Meditelecare of Iowa PLLC

  • Psychologist
  • Des Moines, IA
  • NPI 1386146678
  Medicare reassignment Care Compare group NPD
• Meditelecare of Virginia, LLC

  • Clinical Psychologist
  • Glen Allen, VA
  • NPI 1851890321
  Medicare reassignment Care Compare group NPD
• Meditelecare of West Virginia PLLC

  • Clinical Psychologist
  • Charleston, WV
  • NPI 1235631888
  Medicare reassignment Care Compare group NPD
• Meditelecare of Rhode Island LLC

  • Nurse Practitioner
  • Warwick, RI
  • NPI 1801477963

  Clinical Neuropsychologist

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 1000 Lincoln Drive Operations LLC

  dba Valley Center

  • Skilled Nursing Facility
  • South Charleston, WV
  • NPI 1558545749

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1457503534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578095",
            "telephone_number": "860-788-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 DUBLIN RD STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151052",
            "telephone_number": "860-788-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKIE-HULL",
        "first_name": "TIFFANY",
        "middle_name": "ALISHA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7720",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7767",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6970",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS02013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna L Nick
• Mathew Nickel
• Autumn Nickell
• Jennifer Nickens, FNP-C
• Shayla Nickerson
• Ellen Michelle Nicklaus
• Jacqueline Nicodemo
• Anne Nicol, LSW
• Kathleen Nicol, M.D.
• Audrey Nicolai

• Clinical Neuropsychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Neuropsychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.