ANDREA NICHOLS


Address: 1835 Union Ave, Memphis, TN 38104-3921
Phone: 9017264586

ANDREA NICHOLS (NPI# 1053532689) 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) 1053532689
Entity Type Individual
Full Name ANDREA NICHOLS
Credential PH.D.
Practice Address 1835 Union Ave
Memphis
TN 38104-3921
Practice Telephone 9017264586
Practice Fax Number 9012728782
Mailing Telephone 9017264586
Mailing Fax Number 9012728782
Enumeration Date 2007-05-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist P0000001593 TN Behavioral Health & Social Service Providers

Other Providers ANDREA NICHOLS

NPI Name Taxonomy Address Enumeration
1437756749 Andrea Nichols Behavior Technician 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 2020-10-08
1972024602 Andrea L Nichols Specialist/Technologist, Other 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 2017-07-03
1053496422 Andrea M Nichols Family Medicine 178 Sunrise Hwy, Rockville Centre, NY 11570-4704 2006-10-26

Office Location

Street Address 1835 UNION AVE
City MEMPHIS
State TN
Zip Code 38104-3921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902836836 Med Connection LLC Durable Medical Equipment & Medical Supplies 1835 Union Ave, Ste 300, Memphis, TN 38104 2006-07-04
1346530706 Tameka Tanyanique Daniels Chiropractor 1835 Union Ave, Suite 100, Memphis, TN 38104-3921 2011-04-19
1619159704 Sheryl Jones Md PC Clinic/Center 1835 Union Ave, Suite 321, Memphis, TN 38104-3921 2007-11-29
1699961987 Forever Medical Supplies Inc Durable Medical Equipment & Medical Supplies 1835 Union Ave, Suite 443, Memphis, TN 38104 2007-09-20
1114127271 Audrey Renita Hart Social Worker 1835 Union Ave, Suite 100, Memphis, TN 38104-3921 2007-07-18
1326169970 Jacqueline G Mccreight Counselor 1835 Union Ave, Suite 101, Memphis, TN 38104-3921 2007-04-02
1295884807 Mark Harbin Weiss Marriage & Family Therapist 1835 Union Ave, #312, Memphis, TN 38104-3949 2007-01-10
1619034899 Martha S Foschini Psychologist 1835 Union Ave, #315, Memphis, TN 38104 2007-01-03
1750449591 Augustus Pitt Beam IIi Psychologist 1835 Union Ave, Suite315, Memphis, TN 38104-3921 2006-12-05
1083785653 Mechell Toles Counselor 1835 Union Ave, Suite 350, Memphis, TN 38104-3921 2006-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750916839 Deborah Elaine Renard Psychologist 1834 Dearing Rd, Memphis, TN 38117-7408 2020-03-09
1598314007 Christina Mae Martinez Psychologist 3415 Valley Park Cv, Memphis, TN 38115-4325 2019-09-06
1386178044 Cherokee Health Systems Psychologist 2547 Frayser Blvd, Memphis, TN 38127-5829 2017-04-19
1467864173 Nicole Mary Alberts Psychologist 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 2014-05-29
1225448376 Alison Gregg Dowd Psychologist 1030 Jefferson Ave # 116a4, Memphis, TN 38104-2127 2014-04-29
1346580552 Bianca Branch Psychologist 4166 W Bufford Ellington Dr, Memphis, TN 38111 2013-02-25
1275830648 Katherine Ruth Hiestand Psychologist 1722 Tutwiler Ave, Memphis, TN 38107-4538 2011-02-22
1316249956 Trisha Marie Nash Psychologist 2064 Young Ave, Memphis, TN 38104-5653 2010-12-02
1245560978 Jasmine Brooke Bradley Psychologist 1418 E Crestwood Dr, Memphis, TN 38119-6002 2009-12-31
1144557588 William B Little Jr. Psychologist 5349 Estate Office Dr Ste 3, Memphis, TN 38119 2009-11-05
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Competitor

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City MEMPHIS
Zip Code 38104

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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