Emma D Nicholls, PHD, HSPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20041775 Issued in IN

Practice address

7300 E Indiana St
Ste 103
Evansville, IN 47715-2794

Phone

(812) 401-8008

Fax

(812) 401-8201

NPI assigned

Nov 30, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Easter Seals Rehabilitation Center IncGroup PAC ID 8426135179, 41 clinicians

Practice addresses (Care Compare)

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.

• Easter Seals Rehabilitation Center, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Evansville, IN
  • NPI 1003979964

  IN

  Medicare reassignment Care Compare group NPD
• Easter Seals Rehabilitation Center, Inc

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
  • NPI 1639158587
  Care Compare group NPD
• Easter Seals Rehabilitation Center, Inc.

  • Rehabilitation Clinic/Center
  • Evansville, IN
  • NPI 1285797142
  Care Compare group

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1649347758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 E INDIANA ST",
            "address_2": "STE 103",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152794",
            "telephone_number": "812-401-8008",
            "fax_number": "812-401-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "EMMA",
        "middle_name": "D",
        "credential": "PHD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200411690",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000256887",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Lou Newman
• Owen Wayne Newman, DPT
• Teri Newmaster
• Lay She NG, MB BCH BAO
• Victoria Nguyen, LCSW
• Jana L Nicholson, PTA
• Norma J. Nickens, LCSW
• Bridget Nicole
• Niemeier Eyecare Inc.
• Gina R Niemeier, PA-C

• All providers in Evansville, IN
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.