Nicole Mary Alberts, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3441 Issued in TN

Practice address

262 Danny Thomas Place, Mail Stop 740
Department of Psychology, St Jude Children's Research H
Memphis, TN 38105

Phone

(901) 595-7650

Fax

(901) 595-4701

NPI assigned

May 29, 2014

Reactivated

Mar 30, 2017

Last updated

May 17, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1467864173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PLACE, MAIL STOP 740",
            "address_2": "DEPARTMENT OF PSYCHOLOGY, ST JUDE CHILDREN'S RESEARCH H",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38105",
            "telephone_number": "901-595-7650",
            "fax_number": "901-595-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PLACE, MAIL STOP 740",
            "address_2": "DEPARTMENT OF PSYCHOLOGY, ST JUDE CHILDREN'S RESEARCH H",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38105",
            "telephone_number": "901-595-7650",
            "fax_number": "901-595-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "NICOLE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2017-05-17",
        "deactivation_date": "2015-01-07",
        "reactivation_date": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Alana
• Allen Nicole Casanova Alana, MD
• Ali Alawieh, M.D. PH.D.
• Alberta Home Care Inc
• Lauren D Albertine, APRN
• David Louis Albin, DPH
• Pamela Fly Albin, RDH
• Kristina Albonetti
• Jimmy E. Albright, D.D.S.
• Markela Albright

• Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.