Nichole Antoinette Duarte, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 26899 Issued in CA

Practice address

2382 Faraday Ave Ste 250-12
Carlsbad, CA 92008-7218

Phone

(858) 869-9530

Fax

(858) 524-3011

NPI assigned

Aug 31, 2009

Last updated

Feb 18, 2019By the provider in NPPES

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

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern California Psychology Centers ApcGroup PAC ID 6406170653, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Pacific Psychology Centers, Apc.

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1295124998
  Medicare reassignment NPD Authorized official
• Southern California Psychology Centers, Apc

  dba San Diego Psychology & Assessment Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1386066363
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1902039555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S EL CAMINO REAL",
            "address_2": "STE 305",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546306",
            "telephone_number": "858-869-9530",
            "fax_number": "858-524-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVE STE 250-12",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087218",
            "telephone_number": "858-869-9530",
            "fax_number": "858-524-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "NICHOLE",
        "middle_name": "ANTOINETTE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 26899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Drinkward
• Brian Samuel Droker, MD
• Michael Joseph Drouilhet, LCSW
• Caitlin Jade Drumel
• Gehaan Franklin Dsouza, MD
• Ashley Duchene, AMFT
• Chelsea Dudley, PSYD
• Christopher Michael Dudzik, DMD
• Johana L Duenez
• Jennifer Duff

• Clinical Psychologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.