Stephen Prioleau Nichols, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

79-36P Issued in AR

Practice address

204 N East Ave
Fayetteville, AR 72701-5225

Phone

(479) 442-0763

Fax

(479) 442-5587

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Donna M Van Kirk Edd PLLC

  • Psychologist
  • Fayetteville, AR
  • NPI 1659737575
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962481093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N EAST AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015225",
            "telephone_number": "479-442-0763",
            "fax_number": "479-442-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N EAST AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015225",
            "telephone_number": "479-442-0763",
            "fax_number": "479-442-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "STEPHEN",
        "middle_name": "PRIOLEAU",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "79-36P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "56343",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nic-Hil Inc
• Patti Jean Nicholas, RPH
• Suzanne Nicholas, M.D.
• Chelsea Nicholl
• Kody A Nichols, M.D.
• Tracy L. Nielson, MSW, LCSW
• Kathryn Anne Niestoeckel
• Veronica Nieto
• Miah Nieves
• Niki Hawkins RDN PLLC

• Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.