DR. ROBERT CRAIG NICKS (NPI# 1053931014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053931014 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CRAIG NICKS |
| Credential | PHD |
| Practice Address |
700 S Palestine St Athens TX 75751-3342 |
| Mailing Address |
Po Box 2536 Athens TX 75751-7536 |
| Practice Telephone | 9036759570 |
| Practice Fax Number | 9036759577 |
| Mailing Telephone | 9036759570 |
| Mailing Fax Number | 9036759577 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 38214 | TX | Behavioral Health & Social Service Providers |
| Street Address |
700 S PALESTINE ST |
| City | ATHENS |
| State | TX |
| Zip Code | 75751-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057029 | Carol Mae Mantooth | Counselor | 700 S Palestine St, Athens, TX 75751-3325 | 2006-03-17 |
| 1831797794 | Dawn Marie Lowe | Psychologist | 700 S Palestine St, Athens, TX 75751-3342 | 2020-10-13 |
| 1477059673 | Curtis Ray Pickle | Counselor | 700 S Palestine St, Athens, TX 75751-3325 | 2018-04-05 |
| 1356866701 | Cedar Creek Psychiatry, LLC | Nurse Practitioner | 700 S Palestine St, Athens, TX 75751-3325 | 2017-08-07 |
| 1578968632 | Linda Hayes | Nurse Practitioner | 700 S Palestine St, Athens, TX 75751-3325 | 2014-10-30 |
| 1275962409 | Manda Herring | Social Worker | 700 S Palestine St, Athens, TX 75751-3325 | 2013-11-07 |
| 1215362470 | Donna Elaine Parks | Counselor | 700 S Palestine St, Athens, TX 75751-3325 | 2013-09-06 |
| 1093029951 | East Texas Psychological Services, Pllc | Psychologist | 700 S Palestine St, Athens, TX 75751-3325 | 2010-08-03 |
| 1588846034 | Etpns | Psychologist | 700 S Palestine St, Athens, TX 75751-3325 | 2007-11-27 |
| 1891989216 | Lisa Anne Jesionek | Hearing Instrument Specialist | 700 S Palestine St, Athens, TX 75751-3325 | 2007-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
| 1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
| 1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| 1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
| 1083730683 | Assisted Living Concepts Inc | Assisted Living Facility | 213 Cayuga Drive, Athens, TX 75751 | 2007-03-22 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1093264319 | Angela Nutt Hahn | Psychologist | 159 Oneta St, Unit 1a Suite 7, Athens, GA 30601-3405 | 2016-09-28 |
| 1063877090 | Emily Mouilso | Psychologist | Uga Psychology Department, 125 Baldwin Street, Athens, GA 30602-0001 | 2015-12-17 |
| 1093156721 | Comprehensive Counseling & Psychological Services LLC | Psychologist | 3 West Stimson Ave, Athens, OH 45701 | 2013-07-10 |
| 1225302029 | Sally Ann Kennedy | Psychologist | 1160 S Milledge Ave, Suite 130, Athens, GA 30605-1350 | 2012-02-27 |
| 1255618054 | Amy Kristiana Heesacker | Psychologist | 1751 S Lumpkin St., Athens, GA 30606-4740 | 2011-11-08 |
| 1194019778 | Hannah Harwood Nelson | Psychologist | 1090 Founders Blvd, Suite B, Athens, GA 30606-6163 | 2011-06-01 |
| 1881917912 | Beverly A Williams, Phd | Psychologist | 2097 E State St, Suite B, Athens, OH 45701-2153 | 2010-03-03 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| 1821259938 | Lloyd Stephen Miller | Psychologist | 139 Psychology Building Baldwin St, The University of Georgia, Athens, GA 30602-0001 | 2008-06-20 |
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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.