Active NPI
Nichole Barbara Vincent, PSY.D.
- Clinical Psychologist
- Eagle Pass, TX
National Provider Identifier
1770194862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38237
- Practice address
- 1223 Royal Haven Dr
Eagle Pass, TX 78852-3824 - Phone
- (954) 683-2958
- NPI assigned
- Aug 12, 2020
- Last updated
- Jan 27, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 38237 | TX | Primary |
| Clinical Psychologist | 103TC0700X | PY11283 | FL |
Addresses
Primary practice location
1223 Royal Haven Dr
Eagle Pass, TX 78852-3824
Mailing address
1223 Royal Haven Dr
Eagle Pass, TX 78852-3824
Phone (954) 683-2958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6811 | Other | APIT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11283 | FL | MD | Clinical Psychologist |
| 38237 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1770194862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 ROYAL HAVEN DR",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788523824",
"telephone_number": "954-683-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 ROYAL HAVEN DR",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788523824",
"telephone_number": "954-683-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "NICHOLE",
"middle_name": "BARBARA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38237",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11283",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APIT",
"identifier": "6811",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagle Pass, TX
- Victoriano Valdez M.D. P.a.
- Rafael Christian Vidal Jr.
- Laura Vielma
- Cesar Alejandro Villarreal
- Marcelo Villarreal, M.D.
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0461)
- Wal-Mart Stores Texas, LP (Vision Center 30-0461)
- Lon Andrew Walder, D.O.
- Walgreen Co (Walgreens #15993)
- West Wharton County Hospital District (Avir at La Hacienda)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.