Nicholas Giardino PHD Psychology PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NICHOLAS GIARDINO PHD PSYCHOLOGY PC

Practice address

130 Petaluma Ave Ste 2B
Sebastopol, CA 95472-4234

Phone

(707) 360-2090

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Nicholas Giardino, PHDNPI 1235216854

Title

Clinical Psychologist

Phone

(734) 330-1069

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas D Giardino, PHD

  • Clinical Psychologist
  • Providence, RI
  • NPI 1235216854
  NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1700748308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DUFRANC AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PETALUMA AVE STE 2B",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724234",
            "telephone_number": "707-360-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS GIARDINO PHD PSYCHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "GIARDINO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-330-1069",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Clinical Psychologist in California

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

Verify at the official NPI Registry.