Individual provider Active NPI

Nichole Dollarhide, PPS, LEP

  • School Psychologist
  • Eureka, CA
National Provider Identifier
1912718339
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
210066774 Issued in CA
Practice address
714 F St
Eureka, CA 95501-1036
Phone
(707) 572-0099
Fax
(707) 268-0813
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3878 CA
School Psychologist 103TS0200X 210066774 CA Primary

Addresses

Primary practice location

714 F St
Eureka, CA 95501-1036

Mailing address

714 F St
Eureka, CA 95501-1036
Phone (707) 572-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
210066774CAMDSchool Psychologist
3878CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Alder Grove Charter School CurrentSince Jan 19, 2025 Accepting new patients

Locations

714 F St
Eureka, CA 95501
Phone (707) 268-0854

Organizations & group practices 1

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1912718339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 F ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011036",
            "telephone_number": "707-572-0099",
            "fax_number": "707-268-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 F ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011036",
            "telephone_number": "707-572-0099",
            "fax_number": "707-268-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLARHIDE",
        "first_name": "NICHOLE",
        "credential": "PPS, LEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "3878",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "210066774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.