Donald Richard Nicholas, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

20040120A Issued in IN

Practice address

Ball State Univ
Department of Counseling Psychology, Tc622
Muncie, IN 47306-1099

Phone

(765) 285-8058

Fax

(765) 285-2067

NPI assigned

Jul 30, 2007

Last updated

Jul 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1932399524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BALL STATE UNIV",
            "address_2": "DEPARTMENT OF COUNSELING PSYCHOLOGY, TC622",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473061099",
            "telephone_number": "765-285-8058",
            "fax_number": "765-285-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BALL STATE UNIV",
            "address_2": "DEPARTMENT OF COUNSELING PSYCHOLOGY, TC622",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473061099",
            "telephone_number": "765-285-8058",
            "fax_number": "765-285-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "DONALD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20040120A",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "IN",
            "license": "20040120A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Dang Ngo
• An Bao Nguyen, CAA
• Dung D Nguyen, MD
• Mark Q. Nguyen
• Yen Nguyen
• Stephanie L Nicholson, NP
• Teresa Ann Nicholson, DDS
• Karli Nickles
• Tyler Niedermeyer, MA
• Mark E Nielson, MD

• Counseling Psychologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.