Patrick Nicholas, Psy.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1910 Issued in KS

Legal business name

PATRICK NICHOLAS, PSY.D., LLC

Practice address

1035 Vermont St Ste C
Lawrence, KS 66044-3072

Phone

(785) 764-2121

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Patrick James Nicholas, PSY.D.NPI 1205064953

Title

Psychologist

Phone

(785) 764-2121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Patrick James Nicholas

  • Clinical Psychologist
  • Lawrence, KS
  • NPI 1205064953
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1881995744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 VERMONT ST STE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443072",
            "telephone_number": "785-764-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 VERMONT ST STE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443072",
            "telephone_number": "785-764-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK NICHOLAS, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "785-764-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Parsons, LSCSW
• Grace Madelynn Patchen, RBT
• Adriana Pate, RBT
• Darshika Patel
• Preeta Patel
• Scott E Patrick, M.D.
• Crystal Michelle Patterson, RN, CDRMS
• Karlyn Patterson
• Brenda Joyce Patzel, PHD, APRN,
• Catherine M Pawlicki, ARNP BC

• Psychologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.