Stephanie Nichols, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018557 Issued in NY

Practice address

96 5TH Ave
1K
New York, NY 10011-7605

Phone

(917) 968-8074

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1891070546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 5TH AVE",
            "address_2": "1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 5TH AVE",
            "address_2": "1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117605",
            "telephone_number": "917-968-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Terrenze Nichols, M.D.
• Noah Michael Linwood Nichols, MD
• Olivia Rose Nichols, PA-C
• Sara Rachel Nichols, PHD
• Steffany Nichols
• Zachery Thomas Nichols, PHARMD
• Darryl Nicholson-Sansani, LCSW
• Brittany Nicholson
• Cameron Tyler Nicholson, PA-C
• James Mark Anthony Nicholson, LMT

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.