DR. JOHN RANDALL NICHOLS (NPI# 1720260607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720260607 |
| Entity Type | Individual |
| Full Name | DR. JOHN RANDALL NICHOLS |
| Credential | PH.D. |
| Practice Address |
22 Stockton St Princeton NJ 08540-6813 |
| Mailing Address |
2685 Princeton Pike Lawrenceville NJ 08648-3640 |
| Practice Telephone | 6099240060 |
| Mailing Telephone | 6098827958 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AAMFT | 8040 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801063896 | John Wesley Nichols | Counselor | 106 S Jefferson St, Kaufman, TX 75142-1928 | 2008-05-09 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1154499382 | John R Nichols | Dentist | 28 N Tipton, Munford, TN 38058 | 2006-12-04 |
| 1295741346 | John Dale Nichols | Chiropractor | 8608 E State Road 70, Bradenton, FL 34202-3785 | 2006-07-31 |
| 1548248529 | John Edwin Nichols Jr. | Specialist | 17 Caledon Ct, Suite C, Greenville, SC 29615-3170 | 2006-01-09 |
| 1760478937 | John N Nichols | Radiology | 600 S 3rd St, Gadsden, AL 35901-5304 | 2005-09-23 |
| 1467459933 | John Tibbals Nichols | Counselor | 205 N Front St, Georgetown, DE 19947-1129 | 2005-06-30 |
| 1316598279 | John Thomas Nichols | Student in an Organized Health Care Education/Training Program | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2019-09-23 |
| 1548741598 | John Drew Nichols | Counselor | 401 West Main Street, Barnsdall, OK 74002 | 2018-08-28 |
| 1144709957 | John Nichols II | Behavior Technician | 1508 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2018-08-13 |
| Street Address |
22 STOCKTON ST |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-6813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063495885 | Hollis Jacobs Nemiroff | Counselor | 22 Stockton St, Princeton, NJ 08540-6813 | 2005-11-25 |
| 1568080158 | Scott Seiger Counseling | Case Management | 22 Stockton St, Princeton, NJ 08540-6813 | 2020-07-09 |
| 1154663318 | Kimberly Jordan-casarona | Counselor | 22 Stockton St, Princeton, NJ 08540-6813 | 2013-03-26 |
| 1295959906 | Jane Louise Shapiro | Psychologist | 22 Stockton St, Trinity Counseling Service, Princeton, NJ 08540-6813 | 2007-04-12 |
| 1013039247 | Sara Alice Oppenheimer | Social Worker | 22 Stockton St, Princeton, NJ 08540-6813 | 2007-04-06 |
| 1700900453 | Antonia Flint | Social Worker | 22 Stockton St, Princeton, NJ 08540-6813 | 2007-03-19 |
| 1003958000 | Thomas Sands Baker | Counselor | 22 Stockton St, Princeton, NJ 08540-6813 | 2007-02-13 |
| 1710027271 | Susanne Carol Hand | Social Worker | 22 Stockton St, Princeton, NJ 08540-6813 | 2007-02-07 |
| 1093871394 | Trinity Counseling Service | Community/Behavioral Health | 22 Stockton St, Princeton, NJ 08540-6813 | 2006-12-29 |
| 1437233913 | Carol A Johnson | Counselor | 22 Stockton St, Princeton, NJ 08540-6813 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721642 | Maritza Perez | Counselor | 307 Monroe St Ste 4-7, Passaic, NJ 07055-5207 | 2020-08-17 |
| 1710596374 | Tony L Staggers | Counselor | 155 Bayview Ave, Jersey City, NJ 07305-3306 | 2020-07-29 |
| 1689292138 | Cresting Wave Counseling | Counselor | 3 Carousel Ct, Millstone Township, NJ 08510-8761 | 2020-07-10 |
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1609411073 | Wilman Lora | Counselor | 307 Monroe St # 4, Passaic, NJ 07055-5207 | 2019-11-08 |
| 1215571716 | Julwel Ann Kenney | Counselor | 140 Bloomfield Ave, Montclair, NJ 07042-4725 | 2019-10-29 |
| 1609433382 | Juana Perez | Counselor | 307 Monroe St Fl 2, Passaic, NJ 07055-5207 | 2019-05-28 |
| 1043795883 | Sean A Souels | Counselor | 96 Dayton St, Newark, NJ 07114-1301 | 2018-09-27 |
| 1649779257 | Gregory Rivera | Counselor | 215 Ida Dr, Point Pleasant Boro, NJ 08742-2124 | 2018-02-09 |
| 1902316482 | Margie Negri | Counselor | 90 Beaver Ave Ste 204, Clinton, NJ 08809-1017 | 2017-10-10 |
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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.