Nisha Amin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

30550 Issued in TX

Practice address

2300 Highway 365
#620
Nederland, TX 77627-6256

Phone

(409) 724-7855

Fax

(409) 724-1495

NPI assigned

Oct 17, 2006

Last updated

Dec 12, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• C & M Geriatric Services LLP

  • Psychologist
  • Nederland, TX
  • NPI 1134177967
  NPD (past)
• Vision Consulting, Inc.

  • Psychologist
  • Jasper, TX
  • NPI 1386692119
  NPD (past)
• Vision Psychological Services PC

  • Psychologist
  • Nederland, TX
  • NPI 1740238583
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1649351867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 HIGHWAY 69 S",
            "address_2": "#620",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777051244",
            "telephone_number": "409-724-7855",
            "fax_number": "409-724-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "#620",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-724-7855",
            "fax_number": "409-724-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "NISHA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "30550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID #",
            "identifier": "8J3096",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alliance Physicians Group of Texas, PLLC
• Allied Physicians Group of Texas, P.L.L.C.
• Clyde Verl Allred, M.D.
• Alpha Omega Health Management Services, LLC
• Kennetha Alvarez, FNP-C
• Anbap Wellness LLC (Optimum Medical Weight Control and Family Wellness)
• Anbap Wellness LLC (Optimum Medical Family Practice)
• Andrew Mann Optometrist PA (Visionmann)
• Anew Wellness, LLC (Nederland Ave Family Wellness)
• Tenika Michelle Antoine, FNP-C

• Psychologist in Nederland, TX
• Providers in Nederland, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.