Organization Active NPI

Karen D. Nichols, PH.D., P.S.

  • Clinical Psychologist
  • Bellevue, WA
National Provider Identifier
1780862649
Registry record updated Feb 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1250 Issued in WA
Legal business name
KAREN D. NICHOLS, PH.D., P.S.
Practice address
11808 Northup Way
W 150
Bellevue, WA 98005-1936
Phone
(425) 889-1240
Fax
(425) 889-1249
NPI assigned
Feb 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2008

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

Authorized official

Name
Dr. Karen D. Nichols, PH.D.NPI 1912089632
Title
President
Phone
(425) 889-1240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1250 WA Primary

Addresses

Primary practice location

11808 Northup Way
W 150
Bellevue, WA 98005-1936

Mailing address

11808 Northup Way
W 150
Bellevue, WA 98005-1936
Phone (425) 889-1240

National Provider Directory

National Provider Directory

Locations

2320 130th Ave NE
Ste 110
Bellevue, WA 98005
Phone (360) 990-9511

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201996800000",
    "number": "1780862649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 NORTHUP WAY",
            "address_2": "W 150",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051936",
            "telephone_number": "425-889-1240",
            "fax_number": "425-889-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 NORTHUP WAY",
            "address_2": "W 150",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051936",
            "telephone_number": "425-889-1240",
            "fax_number": "425-889-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN D. NICHOLS, PH.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-03",
        "last_updated": "2008-02-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-889-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2008; 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.