MRS. KELLY RENEE NICHOL (NPI# 1265915151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265915151 |
| Entity Type | Individual |
| Full Name | MRS. KELLY RENEE NICHOL |
| Credential | NCSP |
| Practice Address |
2916 Duncan Rd Wilmington DE 19808-2319 |
| Mailing Address |
1502 Spruce Ave Wilmington DE 19805-2148 |
| Practice Telephone | 3026365681 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
90391 | DE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | STATE OF DELAWARE DEPARTMENT OF EDUCATION (INITIAL LICENSE) | 90391 | 01 |
| Street Address |
2916 DUNCAN RD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619345618 | Linda Cylc | Psychologist | 2916 Duncan Rd, Wilmington, DE 19808-2319 | 2015-09-08 |
| 1497237747 | Laura Emily Davidson | Psychologist | 2916 Duncan Rd, Wilmington, DE 19808-2319 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214243 | Skye Beckley | Psychologist | 2815 Highlands Ln, Wilmington, DE 19808-3629 | 2019-06-14 |
| 1295210441 | Amanda Roesly | Psychologist | 1703 School Ln, Wilmington, DE 19808-6030 | 2018-10-03 |
| 1841729845 | Christine Madden | Psychologist | 2111 Silverside Rd, Wilmington, DE 19810-4120 | 2017-06-05 |
| 1780052209 | Teren Stokes | Psychologist | 801 W 18th St, Wilmington, DE 19802-3852 | 2015-09-15 |
| 1619345618 | Linda Cylc | Psychologist | 2916 Duncan Rd, Wilmington, DE 19808-2319 | 2015-09-08 |
| 1528102589 | Polly Benkstein | Psychologist | 4550 New Linden Hill Rd, Wilmington, DE 19808-2930 | 2007-02-16 |
| 1366510646 | Edris Goolsby Harrell | Psychologist | 520 Rothbury Rd, Wilmington, DE 19803-2440 | 2006-12-02 |
| 1124664628 | Stephanie E Valenzuela | Psychologist | 301 Mckennans Church Rd, Wilmington, DE 19808-1327 | 2019-11-20 |
| 1699310243 | Anahita Scheinberg | Psychologist | 1502 Spruce Ave, Wilmington, DE 19805-2148 | 2019-11-07 |
| 1871137521 | Sarah Townsend Barton | Psychologist | 1502 Spruce Ave, Wilmington, DE 19805-2148 | 2019-11-05 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19808 |
Please comment or provide details below to improve the information on MRS. KELLY RENEE NICHOL.
| 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.