CARA NICHOLSON, PSY.D. PLLC


Address: 3250 N Arlington Heights Rd # Wing200, Arlington Heights, IL 60004-1563
Phone: 8728103134

CARA NICHOLSON, PSY.D. PLLC (NPI# 1649837394) 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) 1649837394
Entity Type Organization
Organization Name CARA NICHOLSON, PSY.D. PLLC
Practice Address 3250 N Arlington Heights Rd # Wing200
Arlington Heights
IL 60004-1563
Practice Telephone 8728103134
Enumeration Date 2019-05-28
Last Update Date 2019-12-05
Authorized Official Name DR. CARA NICHOLSON (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 8477127300
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 3250 N ARLINGTON HEIGHTS RD # WING200
City ARLINGTON HEIGHTS
State IL
Zip Code 60004-1563

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NPI Name Taxonomy Address Enumeration
1023659638 Wayne L. Tsutsumi Technician 1106 E. Mayfair Road, Arlington Heights, IL 60004 2019-10-04
1598275562 Tyler James Kostecki Physician Assistant 3405 North Arlington Heights Road, Arlington Heights, IL 60004 2017-10-04
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1508302373 Maureen O'connor I Behavioral Analyst 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 2017-01-17
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1568918282 Andrea M Doshi Speech-Language Pathologist 1965 N Oakwood Drive, Arlington Heights, IL 60004 2016-09-01
1932514437 Prone Solutions Inc. Durable Medical Equipment & Medical Supplies 126 South Dwyer Avenue, Arlington Heights, IL 60004 2014-06-24
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1891123329 Dana Portman Pharmacist 325 Palatine Road, Arlington Heights, IL 60004 2013-10-18
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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Competitor

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City ARLINGTON HEIGHTS
Zip Code 60004

Improve Information

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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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