Active NPI
Sarah Nichols
- School Psychologist
- Highland Park, IL
National Provider Identifier
1720595697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 150 Pierce Rd
Highland Park, IL 60035-5327 - Phone
- (224) 765-3391
- NPI assigned
- Jan 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
150 Pierce Rd
Highland Park, IL 60035-5327
Mailing address
150 Pierce Rd
Highland Park, IL 60035-5327
Other practice location 1
711 Lincoln Ave W
Highland Park, IL 60035-4070
Phone (224) 765-3563
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1720595697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PIERCE RD",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PIERCE RD",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355327",
"telephone_number": "224-765-3391"
}
],
"practiceLocations": [
{
"address_1": "711 Lincoln Ave W",
"address_purpose": "LOCATION",
"city": "Highland Park",
"state": "IL",
"postal_code": "600354070",
"country_code": "US",
"telephone_number": "224-765-3563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.