VICTORIA NICHOLS


Address: 1110 South Ave, Suite 5, Staten Island, NY 10314-3403
Phone: 3472731290

VICTORIA NICHOLS (NPI# 1558594119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558594119
Entity Type Individual
Full Name VICTORIA NICHOLS
Credential PH.D.
Practice Address 1110 South Ave
Suite 5
Staten Island
NY 10314-3403
Practice Telephone 3472731290
Mailing Telephone 3472731290
Enumeration Date 2009-08-31
Last Update Date 2010-10-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
017032 NY Behavioral Health & Social Service Providers

Other Providers VICTORIA NICHOLS

NPI Name Taxonomy Address Enumeration
1295392652 Victoria Jude Nichols Occupational Therapist 8775 Aero Dr Ste 100, San Diego, CA 92123-1792 2019-05-21
1801359351 Victoria M Nichols Nurse's Aide 165 E Hawthorne Ave, Colville, WA 99114-2629 2019-04-11
1225304272 Victoria Jean Nichols Family Medicine 3174 Packard St, Ann Arbor, MI 48108-1947 2012-03-23

Office Location

Street Address 1110 SOUTH AVE
SUITE 5
City STATEN ISLAND
State NY
Zip Code 10314-3403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609860121 Michele Cammarata Family Medicine 1110 South Ave, Suite 306, Staten Island, NY 10314-3403 2005-09-12
1891315677 Brooke Randall Early Intervention Provider Agency 1110 South Ave, Staten Island, NY 10314-3403 2020-04-21
1114551363 Alyssa Elizabeth Ryan Social Worker 1110 South Ave, Staten Island, NY 10314-3403 2020-02-26
1548822372 Nicole Vento Case Manager/Care Coordinator 1110 South Ave, Suite 405, Staten Island, NY 10314-3414 2019-07-02
1336707033 Edyta Knobloch Counselor 1110 South Ave, Staten Island, NY 10314-3403 2019-05-29
1649760141 Ashley Santucci Occupational Therapist 1110 South Ave, Staten Island, NY 10314-3403 2018-05-10
1558866103 Jennifer Colon Case Manager/Care Coordinator 1110 South Ave, Staten Island, NY 10314-3403 2018-03-27
1740795467 John Mccahey Specialist 1110 South Ave, Staten Island, NY 10314-3403 2017-12-04
1083160170 Jacqueline Shall-mccumiskey Psychologist 1110 South Ave, Suite 5, Staten Island, NY 10314-3403 2016-08-29
1346601333 Penrose Dermatology Pllc Clinic/Center 1110 South Ave, Suite 400, Staten Island, NY 10314-3403 2016-03-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568076255 Edward Leccese Massage Therapist 77 Renee Place, Staten Island, NY 10314 2020-09-01
1871154633 Matthew Richard Puliatti Counselor 1688 Victory Boulevard, Staten Island, NY 10314 2019-06-24
1750845137 Miriam Gordon Pediatric Np PC Nurse Practitioner 7 Ismay Street, Staten Island, NY 10314 2019-01-30
1003391186 2791 Richmond LLC Dentist 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 2018-09-25
1477046522 Miriam A Madry Optometrist 569 Woolley Ave, Staten Island, NY 10314 2018-06-13
1174025894 Staten Island Dentistry P.C. Clinic/Center 979 Willowbrook Rd., Staten Island, NY 10314 2018-03-08
1205335023 Ashley Larsen Early Intervention Provider Agency 229 Wellington Ct, Staten Island, NY 10314 2018-02-07
1306369699 Victoria Ali Behavior Technician 228 Melvin Avenue, Staten Island, NY 10314 2017-07-19
1700307360 Lydia Mora Specialist 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 2017-07-03
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003311218 Valentina Teresa Diglio Psychologist 1110 South Ave Ste 5, Staten Island, NY 10314-3403 2018-03-28
1407205842 Neil B Madero Psychologist 67 Jackson St, Staten Island, NY 10304-2229 2016-06-07
1306210125 Ife Landsmark Psychologist New Broadview Manor - 70 Father Capodanno Blvd, Staten Island, NY 10305 2015-11-17
1639578206 Pakier Psychological Services P.C. Psychologist 1550 Richmond Ave Ste 203, Staten Island, NY 10314-1578 2014-08-19
1649511783 Virginia Boga Psychologist 979 Lamont Ave, Staten Island, NY 10309-2207 2013-03-14
1053695072 Shveta Mittal Psychologist 180 Four Corners Rd, Staten Island, NY 10304-1222 2011-10-10
1841571312 Susan Merle Tyburczy Psychologist 152 Ross Ave, Staten Island, NY 10306-2952 2011-08-29
1194022004 Lauriann Mancini Psychologist 28 Brookside Loop, Staten Island, NY 10309-4501 2011-02-12
1578865523 Frances Adele Melendez Psychologist 797 Brighton Ave, Staten Island, NY 10301-2736 2010-11-24
1780842922 Linda Marconi-manda Psychologist 78 Cedarcliff Road, Staten Island, NY 10301-4402 2008-05-23
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Competitor

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City STATEN ISLAND
Zip Code 10314

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Dataset Information

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.

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