DR. MICHAEL A NICHOLAS (NPI# 1467471565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467471565 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A NICHOLAS |
| Credential | PHD |
| Practice Address |
100 Fountain Ave Suite 220 Paducah KY 42001-2771 |
| Mailing Address |
Po Box 7223 Paducah KY 42002-7223 |
| Practice Telephone | 2704084192 |
| Practice Fax Number | 2704431784 |
| Mailing Telephone | 2704084192 |
| Mailing Fax Number | 2704431784 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 850 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275563637 | Michael Ernest Nicholas Jr. | Physician Assistant | 3014 N. O Connor, Suite 110, Irving, TX 75062-4415 | 2006-07-03 |
| 1649733064 | Michael Nicholas | Marriage & Family Therapist | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-04-11 |
| 1821537861 | Michael Alan Nicholas | Peer Specialist | 704 Main St, Oregon City, OR 97045-1842 | 2017-02-22 |
| 1922468834 | Michael George Nicholas | Physician Assistant | 159 E 74th St, 2nd Floor, New York, NY 10021-3235 | 2016-03-04 |
| 1437536166 | Michael Nicholas | Social Worker | 406 Massachusetts Ave, Arlington, MA 02474-6700 | 2015-05-01 |
| 1942486873 | Michael John Nicholas | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2008-01-10 |
| 1144242520 | Michael Nicholas | Pediatrics | 708 Shady Retreat Rd, Suites 3+4, Doylestown, PA 18901 | 2006-07-24 |
| 1598740748 | Michael A Nicholas | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-09 |
| 1124026059 | Michael L Nicholas | Psychiatry & Neurology | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 | 2005-07-13 |
| Street Address |
100 FOUNTAIN AVE SUITE 220 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811957459 | David Andrew Meyer | Psychiatry & Neurology | 100 Fountain Ave, Suite # 301, Paducah, KY 42001-2774 | 2006-03-27 |
| 1467841452 | Gencare, Inc | In Home Supportive Care | 100 Fountain Ave, Suite 419-a, Paducah, KY 42001-2771 | 2015-01-14 |
| 1639499668 | Lori Dempsey Nicholas | Social Worker | 100 Fountain Ave, Suite 220, Paducah, KY 42001-2771 | 2010-06-01 |
| 1932378270 | Michael A. Nicholas Phd Pllc | Clinical Neuropsychologist | 100 Fountain Ave, Suite 220, Paducah, KY 42001-2771 | 2008-02-20 |
| 1184827446 | Dr Daniel Boeh Dmd Psc | Dentist | 100 Fountain Ave, Suite #314, Paducah, KY 42001 | 2007-06-06 |
| 1700916913 | Walter Michael Myrick | Dentist | 100 Fountain Ave, Suite 400, Paducah, KY 42001-2771 | 2007-03-06 |
| 1558419978 | Paducah Psychiatry Group Psc | Psychiatry & Neurology | 100 Fountain Ave, Suite 301, Paducah, KY 42001-2774 | 2007-01-08 |
| 1982764445 | Edward Anthony Jones | Marriage & Family Therapist | 100 Fountain Ave, Century Building -- Suite 105, Paducah, KY 42001-2771 | 2006-12-12 |
| 1528075330 | Gary H. Whitelock | Dentist | 100 Fountain Ave, Paducah, KY 42001-2771 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932378270 | Michael A. Nicholas Phd Pllc | Clinical Neuropsychologist | 100 Fountain Ave, Suite 220, Paducah, KY 42001-2771 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982126660 | Seigler Psychological Services | Clinical Neuropsychologist | 1136 S Park Dr Fl 2, Bowling Green, KY 42103-2446 | 2017-07-13 |
| 1598124661 | Brainworks LLC | Clinical Neuropsychologist | 101 Wind Haven Dr Ste 202a, Nicholasville, KY 40356-8035 | 2016-02-18 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1871899062 | Brenda Carol Parker | Clinical Neuropsychologist | 815 John Harper Rd Unit 13, Pioneer Village, KY 40165-7463 | 2011-02-04 |
| 1437393170 | Bradley Scott Folley | Clinical Neuropsychologist | 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 | 2009-04-24 |
| 1265689475 | Marilyn M. Wagner Ph.d., Psc | Clinical Neuropsychologist | 105a Crescent Ave, Louisville, KY 40206-1525 | 2008-08-20 |
| 1780865907 | Renewed Hope Counseling Center, Pllc | Clinical Neuropsychologist | 212 Hanna Pl, Frankfort, KY 40601-2719 | 2007-11-15 |
| 1619186467 | James Frederick Phifer | Clinical Neuropsychologist | 440 Breckenridge Lane Ste 124, Louisville, KY 40218 | 2007-05-21 |
| 1508916958 | Michael H Cecil | Clinical Neuropsychologist | 13293 Obannon Station Way, Louisville, KY 40223-4188 | 2007-01-10 |
| 1346399318 | Peter Judson Gager | Clinical Neuropsychologist | 3175 Custer Dr Ste 302b, Lexington, KY 40517-4023 | 2007-01-09 |
| Find all providers with the same taxonomy | ||||
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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.