Cara Nicholson, Psy.D. PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CARA NICHOLSON, PSY.D. PLLC

Practice address

3250 N Arlington Heights Rd # Wing200
Arlington Heights, IL 60004-1563

Phone

(872) 810-3134

NPI assigned

May 28, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cara Nicholson, PSY.D.NPI 1780191379

Title

Clinical Psychologist

Phone

(847) 712-7300

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: dr.nicholson@wakefulpsychology.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cara Nicholson

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1780191379
  NPD Authorized official

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1649837394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 N ARLINGTON HEIGHTS RD # WING200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N ARLINGTON HEIGHTS RD # WING200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041563",
            "telephone_number": "872-810-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARA NICHOLSON, PSY.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-712-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr.Nicholson@wakefulpsychology.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3633 W Lake Ave Ste 200",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600265802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.