Nancy Lennox Nicholson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012019 Issued in NY

Practice address

20 Century Hill Drive
Suite 202
Latham, NY 12110

Phone

(518) 785-7283

Fax

(518) 785-7293

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Health Specialists, PLLC

  • Clinical Social Worker
  • Latham, NY
  • NPI 1992809016

  Clinical

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851472997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 AUSABLE FRKS",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053700",
            "telephone_number": "518-452-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTURY HILL DRIVE",
            "address_2": "SUITE 202",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-785-7283",
            "fax_number": "518-785-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "NANCY",
        "middle_name": "LENNOX",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newtonville Pediatrics & Internal Medicine
• Stephanie Jeanette Mannion Ngelezi
• Barbara Nguyen, PA-C
• Samantha Nicchi
• Alexander Ely Nicholson, NPP
• Jessica Nicole Nicklo, FNP
• Nicolla and Associates, PT & OT Services, PLLC
• Thomas Christopher Nicolla Jr., PT
• Lowry Nicsevic
• Micaela Nordhauser, MD

• All providers in Latham, NY
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.