Active NPI
Thalia Pitsillidou Sullivan Nicholson, PHD
- Psychologist
- Auburn, CA
National Provider Identifier
1760053136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35995
- Practice address
- 140 Pine St
Auburn, CA 95603-5247 - Phone
- (530) 423-3714
- NPI assigned
- Jul 7, 2021
- Last updated
- Feb 26, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35995 | CA | Primary |
| Psychologist | 103T00000X | 1300 | NV |
Addresses
Primary practice location
140 Pine St
Auburn, CA 95603-5247
Mailing address
5701 Lonetree Blvd Ste 113
Rocklin, CA 95765-3792
Phone (530) 423-3714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 17, 2026 through Feb 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1300 | NV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thalia Nicholson Psychological Services, Inc. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba America's First Responder Services
- Clinical Psychologist
- Roseville, CA
- NPI 1255292025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1760053136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 LONETREE BLVD STE 113",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957653792",
"telephone_number": "530-423-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PINE ST",
"city": "AUBURN",
"state": "CA",
"postal_code": "956035247",
"telephone_number": "530-423-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN NICHOLSON",
"first_name": "THALIA",
"middle_name": "PITSILLIDOU",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "35995",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "1300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.