Timothy Robert Nichols, PSYCHOLOGIST MS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1356 Issued in WV

Practice address

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816

Phone

(304) 757-6999

Fax

(304) 757-6999

NPI assigned

Jun 5, 2018

Sex

Male

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

Enrolled in WV

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womencare IncGroup PAC ID 4587568134, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Women Care Inc

  • Federally Qualified Health Center (FQHC)
  • Scott Depot, WV
  • NPI 1194759290
  Medicare reassignment Care Compare group NPD
• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Winfield, WV
  • NPI 1760268643
  NPD
• Associates in Psychology and Therapy, Inc.

  • Psychologist
  • Huntington, WV
  • NPI 1306923024
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1477045433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BROOKSIDE DR",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609736",
            "telephone_number": "304-790-2432",
            "fax_number": "304-302-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609816",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609736",
            "country_code": "US",
            "telephone_number": "304-272-5517",
            "fax_number": "304-272-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "credential": "PSYCHOLOGIST MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Murdoch
• Kayla Musgrave
• Morgan Nance
• Jordan A Nash, MD
• Hailey Nelson
• Ciara Noe
• James Nottingham, FNP-C
• Nutrisense Nutrition Consulting, LLC
• Paris Oates
• Josalyne Kayla Osborne

• Psychologist in Scott Depot, WV
• Providers in Scott Depot, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.