Individual provider Active NPI

James Roger Nicholas, MD

  • Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1669003281
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.021758 Issued in OH
Practice address
11170 Maple Knoll Ter Unit L215
Cincinnati, OH 45246-4154
Phone
(218) 235-1466
NPI assigned
Feb 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.021758 OH Primary

Addresses

Primary practice location

11170 Maple Knoll Ter Unit L215
Cincinnati, OH 45246-4154

Mailing address

11170 Maple Knoll Ter Unit L215
Cincinnati, OH 45246-4154
Phone (218) 235-1466

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mail.google.com/mail/u/0/#inbox Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.021758OHMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1669003281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11170 MAPLE KNOLL TER UNIT L215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464154",
            "telephone_number": "218-235-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11170 MAPLE KNOLL TER UNIT L215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464154",
            "telephone_number": "218-235-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "JAMES",
        "middle_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-02",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.021758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.google.com/mail/u/0/#inbox",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11170 Maple Knoll Ter Unit L215",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452464154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; 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.