DAVID L NICHOLS (NPI# 1063409852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063409852 |
| Entity Type | Individual |
| Full Name | DAVID L NICHOLS |
| Credential | PHD |
| Practice Address |
8700 Durand Ave Ste 600 Sturtevant WI 53177-2096 |
| Practice Telephone | 2626355520 |
| Practice Fax Number | 2626355530 |
| Mailing Telephone | 2626355520 |
| Mailing Fax Number | 2626355530 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
943-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39027600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1244 Wisconsin Ave Ste 303, Racine, WI 534031987 | 2626355520 | 2626355530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972702462 | David S. Nichols | Psychologist | 5107 Ne Couch St, Portland, OR 97213-3021 | 2007-07-13 |
| 1043305220 | David Frank Nichols | Dentist | 4700 Kinsey Drive, Tyler, TX 75703 | 2006-10-04 |
| 1528055449 | David R Nichols | Internal Medicine | 1835 Grant Ave, Nea Clinic, Jonesboro, AR 72403-1960 | 2005-10-05 |
| 1902893993 | David Alan Nichols | Internal Medicine | 284 N Hospital Dr, Ste 2, Price, UT 84501-4235 | 2005-10-04 |
| 1346240314 | David Paul Nichols | Orthopaedic Surgery | 6000 Brockton Dr, Lockport, NY 14094-9273 | 2005-07-29 |
| 1174123640 | David Edward Nichols | Pharmacist | 2351 Century Dr, West Mifflin, PA 15122-2430 | 2020-10-26 |
| 1336762061 | David Michael Nichols | Family Medicine | 700 Hawk Ridge Dr, Hamburg, PA 19526-9219 | 2020-05-28 |
| 1518488014 | David Scott Nichols | Dentist | 521 N 12th St, Richmond, VA 23298-5013 | 2017-07-05 |
| 1306248901 | David Nichols | Social Worker | 2980 S Rainbow Blvd, Las Vegas, NV 89146-6531 | 2014-09-25 |
| 1770832891 | David Nichols | Counselor | 100 Main Street, Suite 203, Boise, ID 83702 | 2012-09-05 |
| Street Address |
8700 DURAND AVE STE 600 |
| City | STURTEVANT |
| State | WI |
| Zip Code | 53177-2096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629065404 | Ahmad Zia Khan | Psychiatry & Neurology | 8700 Durand Ave Ste 600, Sturtevant, WI 53177-2096 | 2005-10-05 |
| 1699791988 | Psychiatric Services of Racine, LLP | Psychologist | 8700 Durand Ave Ste 600, Sturtevant, WI 53177-2096 | 2006-07-14 |
| 1275520033 | Robert Stephen Callaghan | Psychiatry & Neurology | 8700 Durand Ave Ste 600, Sturtevant, WI 53177 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710170626 | Lawrence Volkert | Dentist | 2753 Wisconsin Street, Sturtevant, WI 53177 | 2007-08-23 |
| 1023171279 | Lucy Mcauley | Physical Therapist | 8700 Durand Ave, Suite D, Sturtevant, WI 53177 | 2006-12-19 |
| 1245585462 | Amrinder Singh | Family Medicine | 10340 Washington Ave, Sturtevant, WI 53177 | 2012-07-14 |
| 1083748255 | Sean P Sheerin | Physical Therapy Assistant | 8700 Durand Ave, Suite 100, Sturtevant, WI 53177 | 2007-03-16 |
| 1083748271 | Paula J Hatch | Occupational Therapist | 8700 Durand Ave, Suite 100, Sturtevant, WI 53177 | 2007-03-16 |
| 1740518869 | Arlene C Adams | Physical Therapist | 515 Deer Path, Sturtevant, WI 53177-1266 | 2009-12-01 |
| 1013548833 | Ascension Wisconsin Surgery Center-mount Pleasant LLC | Clinic/Center | 10180 Washington Ave Ste 200, Mount Pleasant, WI 53177-1604 | 2020-01-30 |
| 1184254336 | Kristiana R Maggard | Occupational Therapist | 10180 Washington Ave # 107, Mount Pleasant, WI 53177-1604 | 2020-01-16 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1447897004 | Mary Nilles | Physical Therapist | 10180 Washington Ave, Mount Pleasant, WI 53177-1604 | 2019-12-03 |
| Find all providers in zip 53177 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629607619 | Eleanor Arlene Tidball | Psychologist | 13320 W Grange Ave, New Berlin, WI 53151-8131 | 2020-04-02 |
| 1134769441 | Graham Gardner Knowlton | Psychologist | Milwaukee Vamc 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-01-14 |
| 1477197929 | Samuel David Lustgarten | Psychologist | 1025 W Johnson St Rm 303b, Madison, WI 53706-1706 | 2019-10-28 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1770133555 | Kerrin Sendrowitz O'connor | Psychologist | 1509 S Outagamie St, Appleton, WI 54914-5580 | 2019-09-13 |
| 1982193546 | Samantha Jo Schwartz-oscar | Psychologist | 2809 School Rd, Greenleaf, WI 54126-9209 | 2018-05-08 |
| 1790202851 | Wisconsin Lutheran Child & Family Service | Psychologist | 2669 N Richards St, Milwaukee, WI 53212-2850 | 2017-08-29 |
| 1902337785 | Carla Mae Davey | Psychologist | 333 E Campus Mall Rm 7, University Health Services, Madison, WI 53715-1740 | 2017-03-23 |
| 1558739300 | Hayley Shilling | Psychologist | 6602 Grand Teton Plz Ste 100, Madison, WI 53719-2905 | 2015-09-10 |
| 1568850840 | Belinda Gutierrez | Psychologist | 2500 Overlook Terrace, 116b, William S. Middleton Memorial Veterans Hospital, Madison, WI 53705-2286 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
| City | STURTEVANT |
| Zip Code | 53177 |
Please comment or provide details below to improve the information on DAVID L NICHOLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.