Nicom Therapeutics Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NICOM THERAPEUTICS INC

Practice address

1269 Peabody LN
Emeryville, CA 94608-1113

Phone

(415) 913-9332

NPI assigned

Nov 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Szymanski, PHD

Title

Ceo

Phone

(415) 913-9332

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1881067270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 PEABODY LN",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081113",
            "telephone_number": "415-913-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 PEABODY LN",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081113",
            "telephone_number": "415-913-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOM THERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "SZYMANSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-913-9332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Hoang-Khai Nguyen, PA-C
• Vy Nguyen
• Gigi Nickas, MD
• Emiley Nicklas
• Dean John Nickles, MD
• Brittany Nienu
• Chukwudi C Nnodim
• Stephanie Noel
• Pamela Noonan, RD
• Nazir Noor, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.