Active NPI
David Albert Nichol, MD
- Psychiatry Physician
- Boulder, CO
National Provider Identifier
1689701211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 45536
- Practice address
- 1900 Bluff St
Boulder, CO 80304-4287 - Phone
- (720) 381-6090
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 45536 | CO | Primary |
| Psychoanalyst | 102L00000X | 45536 | CO |
Addresses
Primary practice location
1900 Bluff St
Boulder, CO 80304-4287
Mailing address
1900 Bluff St
Boulder, CO 80304-4287
Phone (303) 877-2270
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45536 | CO | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1689701211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 BLUFF ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044287",
"telephone_number": "303-877-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 BLUFF ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044287",
"telephone_number": "720-381-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOL",
"first_name": "DAVID",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "45536",
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CO",
"license": "45536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.