DR. ERIC SHAWN NICELY (NPI# 1114049657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114049657 |
| Entity Type | Individual |
| Full Name | DR. ERIC SHAWN NICELY |
| Credential | PSYD |
| Practice Address |
220 Montgomery St Ste 1019 San Francisco CA 94104-3402 |
| Practice Telephone | 4159551975 |
| Practice Fax Number | 4159010675 |
| Mailing Telephone | 4159551975 |
| Mailing Fax Number | 4159010675 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY18892 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790754331 | Eric Richard Nicely | Psychologist | 970 W Wooster St, Ste. 124, Bowling Green, OH 43402-2643 | 2006-03-16 |
| 1043210164 | Eric R Nicely | Urology | 7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 | 2005-07-29 |
| Street Address |
220 MONTGOMERY ST STE 1019 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94104-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326033200 | Dan Alan Kalshan | Internal Medicine | 220 Montgomery St, Suite 1212, San Francisco, CA 94104-3402 | 2005-09-15 |
| 1215469325 | Amanda Helen Ford | Physical Therapist | 220 Montgomery St, San Francisco, CA 94104-3402 | 2017-03-29 |
| 1841745296 | Russ Nordmeyer | Marriage & Family Therapist | 220 Montgomery St, Suite 400, San Francisco, CA 94104-3402 | 2016-08-15 |
| 1598127466 | Stanley H Siu Dental Corporation | Durable Medical Equipment & Medical Supplies | 220 Montgomery St, Suite 825, San Francisco, CA 94104-3402 | 2016-03-22 |
| 1528423753 | Callister Chiropractic & Training, Inc | Clinic/Center | 220 Montgomery St, Suite 1084, San Francisco, CA 94104-3402 | 2015-12-14 |
| 1063880938 | Julia Rapicavoli | Physical Therapist | 220 Montgomery St, Suite 110, San Francisco, CA 94104-3402 | 2015-09-09 |
| 1134510324 | Kavitha Goldowitz | Marriage & Family Therapist | 220 Montgomery St, Suite 400, San Francisco, CA 94104-3402 | 2015-02-10 |
| 1215353842 | Cameo Wong | Counselor | 220 Montgomery St, Suite 1098, San Francisco, CA 94104-3402 | 2014-03-06 |
| 1669719100 | Melinda Douglass | Psychologist | 220 Montgomery St, Suite 400, San Francisco, CA 94104-3402 | 2013-01-03 |
| 1952666810 | Bruce Edward Hearn | Marriage & Family Therapist | 220 Montgomery St, Suite 317, San Francisco, CA 94104-3402 | 2012-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457837932 | Ashley C Thomas | Behavior Technician | 150 Sutter Street, Unit 120, San Francisco, CA 94104 | 2018-07-17 |
| 1255859047 | Julio Heredia | Interpreter | 180 Sansome Street, 5th Floor, San Francisco, CA 94104 | 2017-09-01 |
| 1720535362 | Jane Myung | Dentist | 201 Sansome Street Unit 804, San Francsico, CA 94104 | 2016-09-01 |
| 1912362252 | Ginger.io of California Medical PC | Clinic/Center | 332 Pine St Ste 800, San Francisco, CA 94104 | 2015-12-30 |
| 1184093635 | Ginger.io, Inc. | Psychologist | 225 Bush St., Suite 1900, San Francisco, CA 94104 | 2015-09-15 |
| 1649648619 | Jennifer Oranje Gentry | Counselor | Understanding Behavior, Inc, 150 Sutter Street, Unit 120, San Francisco, CA 94104 | 2015-09-08 |
| 1518383736 | Doris Kwan Yuk So | Marriage & Family Therapist | 220 Montgomery St., Suite 1098, San Francisco, CA 94104 | 2014-03-12 |
| 1972846566 | Stephanie Ann Agnew | Counselor | 150 Sutter Street Unit 120, San Francisco, CA 94104 | 2013-04-01 |
| 1811284615 | Anna Lisa Lindberg Cedar | Social Worker | 582 Market St Ste 2003, San Francisco, CA 94104 | 2011-06-30 |
| 1619292729 | Nicole Mayeda | Psychologist | 465 California St Ste 308, San Francisco, CA 94104 | 2010-03-31 |
| Find all providers in zip 94104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1295359438 | Robin Ruth | Psychologist | 2443 Fillmore St # 380-7876, San Francisco, CA 94115-1814 | 2020-06-03 |
| 1861020588 | Emma Salzman | Psychologist | 401 Parnassus Ave Rm 111, San Francisco, CA 94143-0984 | 2020-03-29 |
| 1992330518 | Dr. Nicole Mayeda, A Psychological Corporation | Psychologist | 22 Battery St., Suite 426, San Francisco, CA 94111-5542 | 2020-03-04 |
| 1699308726 | Kumar Therapy, A Psychological Corporation | Psychologist | 582 Market St Ste 1210, San Francisco, CA 94104-5313 | 2020-02-17 |
| 1619516010 | Zenobia New Grusky | Psychologist | 255 Jersey St, San Francisco, CA 94114-3822 | 2020-01-02 |
| 1629614144 | Larisa Beckwith | Psychologist | 764 Faxon Ave, San Francisco, CA 94112-1204 | 2019-11-19 |
| 1093360752 | Era A Loewenstein | Psychologist | 4317a 23rd St, San Francisco, CA 94114-3111 | 2019-08-08 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1144881467 | Julie London | Psychologist | 2309 Noriega St # 302, San Francisco, CA 94122-4239 | 2019-06-26 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94104 |
Please comment or provide details below to improve the information on DR. ERIC SHAWN NICELY.
| 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.