Individual provider Active NPI

Nicolette Lurissa Howells, PHD

  • Clinical Child & Adolescent Psychologist
  • Columbus, OH
National Provider Identifier
1861641268
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
2 Easton Oval Ste 450
Columbus, OH 43219-6035
Phone
(614) 475-9500
Fax
(614) 475-9821
NPI assigned
Sep 10, 2008
Last updated
Aug 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

2 Easton Oval Ste 450
Columbus, OH 43219-6035

Mailing address

2 Easton Oval Ste 450
Columbus, OH 43219-6035
Phone (614) 475-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524000281 VI Practitioner - Clinical Psychologist 7416081526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Insight Psychological Services LLCGroup PAC ID 7416331707, 7 clinicians

Practice addresses (Care Compare)

9151 Estate Thomas
Suite 204
St Thomas, VI 00802-2716
Phone (340) 774-2228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Outreach, Inc CurrentSince Feb 8, 2023 Accepting new patients
Insight Psychological Services, LLC CurrentSince Feb 8, 2023 Accepting new patients
Matrix Integrated Psychological Services PastSince Oct 24, 2013 Accepting new patients

Locations

9151 Estate Thomas
Ste 204
St Thomas, VI 00802
Phone (340) 774-2228

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1861641268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EASTON OVAL STE 450",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196035",
            "telephone_number": "614-475-9500",
            "fax_number": "614-475-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EASTON OVAL STE 450",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196035",
            "telephone_number": "614-475-9500",
            "fax_number": "614-475-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELLS",
        "first_name": "NICOLETTE",
        "middle_name": "LURISSA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.