DR. TRAVIS NICHOLS (NPI# 1114431905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114431905 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS NICHOLS |
| Credential | PH.D. |
| Practice Address |
9250 W Thomas Rd Phoenix AZ 85037-3382 |
| Mailing Address |
12527 W Modesto Dr Litchfield Park AZ 85340-5555 |
| Practice Telephone | 6237724051 |
| Mailing Telephone | 6102839750 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS018367 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104137751 | Travis J Nichols | Physical Therapist | 4201b Anderson Ave, Suite 1, Manhattan, KS 66503-7601 | 2010-06-29 |
| 1003431495 | Travis George Nichols | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2020-06-10 |
| Street Address |
9250 W THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009352 | Jon A King | Surgery | 9250 W Thomas Rd, Ste 250, Phoenix, AZ 85037-3382 | 2005-11-05 |
| 1033623285 | Jordan Butay | Physical Therapist | 9250 W Thomas Rd, Phoenix, AZ 85037-3382 | 2017-11-27 |
| 1821471913 | Arizona Surgical Specialists Center, LLC | Clinic/Center | 9250 W Thomas Rd, Suite 220, Phoenix, AZ 85037-3382 | 2015-07-07 |
| 1477956621 | The Pain Center of Arizona, PC | Durable Medical Equipment & Medical Supplies | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-10-02 |
| 1114333432 | The Pain Center of Arizona, PC | Non-Pharmacy Dispensing Site | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2014-07-08 |
| 1891031019 | Manjit K Wright | Physician Assistant | 9250 W Thomas Rd, Suite 100, Phoenix, AZ 85037-3382 | 2012-12-15 |
| 1063767739 | Estrella Mountain Dialysis LLC | Clinic/Center | 9250 W Thomas Rd, Suite 120, Phoenix, AZ 85037-3382 | 2012-07-19 |
| 1477824894 | Alice Mustapha Amara | Nurse Practitioner | 9250 W Thomas Rd, Suite 200, Phoenix, AZ 85037-3382 | 2012-01-17 |
| 1770787863 | David Wayne Smith | Surgery | 9250 W Thomas Rd, Suite 250, Phoenix, AZ 85037-3382 | 2007-06-12 |
| 1497959589 | Ravia Bokhari | Surgery | 9250 W Thomas Rd, Ste 250, Phoenix, AZ 85037-3382 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847951 | Flourish Mental Wellness, Pllc | Psychologist | 112 N Central Ave Ste M26, Phoenix, AZ 85004-2309 | 2020-10-06 |
| 1881202042 | Sara L Cole | Psychologist | 3933 E Edna Ave Ste 101, Phoenix, AZ 85032-2127 | 2020-07-14 |
| 1871115311 | Aims-az, LLC | Psychologist | 1346 E. Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-05-07 |
| 1346890308 | Michael D Rabara | Psychologist | 1450 E Indian School Rd Ste 106, Phoenix, AZ 85014-4954 | 2019-09-12 |
| 1790331940 | Brittany Friedman | Psychologist | 650 E Indian School Rd Bldg 21, Phoenix, AZ 85012-1839 | 2019-08-14 |
| 1336705888 | Alice Claudia Pickering | Psychologist | 2955 W Villa Maria Dr, Phoenix, AZ 85053-1107 | 2019-05-09 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1346725249 | Katharine D Sluys | Psychologist | 205 N Phoenix Rd Ste A, Phoenix, OR 97535-9100 | 2018-09-27 |
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1073028023 | Jodi Ralyn Cuneo | Psychologist | 5060 N 19th Ave Ste 101, Phoenix, AZ 85015-3211 | 2017-12-12 |
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| 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.