Nina Nicholas, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7368 Issued in FL

Practice address

5608 Pga Blvd Ste 206
Palm Beach Gardens, FL 33418-4121

Phone

(561) 776-1660

Fax

(561) 863-3128

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peacemaking of the Human Spirit

  • Professional Counselor
  • Palm Beach Gardens, FL
  • NPI 1144557455
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477602720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 PARK AVE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032604",
            "telephone_number": "561-776-1660",
            "fax_number": "561-863-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 PGA BLVD STE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184121",
            "telephone_number": "561-776-1660",
            "fax_number": "561-863-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart R Newman, D.D.S.
• Kathryn Newsome
• Dragica M Newton, MD
• Nextstep Smiles PBG LLC
• Bernard Ngueguim, PHARMD
• Semerah Nichols
• Danisha A Nicholson
• Kimberly Nicholson
• Lasira L Nicholson
• Marnie Nickels, ARNP

• Mental Health Counselor in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.