Cassandra N Nichols, PH. D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00002320 Issued in WA

Practice address

1205 SE Professional Mall Blvd
Suite 113
Pullman, WA 99163-5423

Phone

(509) 334-0677

Fax

(509) 334-3115

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By 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

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.

• Dean Funabiki and Associates , P.S.

  • Psychologist
  • Pullman, WA
  • NPI 1265467914
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568485563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991630214",
            "telephone_number": "509-334-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SE PROFESSIONAL MALL BLVD",
            "address_2": "SUITE 113",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-334-0677",
            "fax_number": "509-334-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CASSANDRA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00002320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selvasaravanakumar Navaneethakrishnanpoovana, M.D
• Robert Mutisya Ndambuki, CNA
• Kealan E Nelson
• Luann Nelson, MSW
• Erin Leah Neuberger
• Nikki J. Stypa, Psy.D., PLLC
• Suzzanna F Nofsinger, RN
• Yasushi Nomura, ATC
• Norco Inc
• Northern Medical Systems, Inc.

• Psychologist in Pullman, WA
• Providers in Pullman, WA by specialty
• Psychologist in Washington

• 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.