DR. JOHN THOMAS NICKENS (NPI# 1427115542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427115542 |
| Entity Type | Individual |
| Full Name | DR. JOHN THOMAS NICKENS |
| Credential | PHD |
| Practice Address |
465 34th St Oakland CA 94609-2815 |
| Mailing Address |
465-34th Street Oakland CA 94609 |
| Practice Telephone | 5102879456 |
| Practice Fax Number | 5193829716 |
| Mailing Telephone | 5102879456 |
| Mailing Fax Number | 5103829716 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14670 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998926 | John William Nickens | Physician Assistant | 2223 Benson Rd S Apt D202, Renton, WA 98055-4339 | 2019-08-20 |
| Street Address |
465 34TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457377269 | Charlotte Parker | Marriage & Family Therapist | 465 34th St, Oakland, CA 94609-2815 | 2006-07-14 |
| 1003327008 | Aretha Hampton | Social Worker | 465 34th St, Oakland, CA 94609-2815 | 2017-10-17 |
| 1124390117 | Emily Alexandra Summers | Social Worker | 465 34th St, Oakland, CA 94609-2815 | 2012-02-06 |
| 1053618900 | Michelle Anne Reyes | Psychologist | 465 34th St, Suite B, Oakland, CA 94609-2815 | 2011-02-11 |
| 1316182108 | Claire Siwula | Marriage & Family Therapist | 465 34th St, Oakland, CA 94609-2815 | 2008-12-08 |
| 1215125901 | Melvin L. Escobar | Social Worker | 465 34th St, Suite B-4, Oakland, CA 94609-2815 | 2007-10-09 |
| 1568655090 | Robin Brandon | Counselor | 465 34th St, Oakland, CA 94609-2815 | 2007-08-17 |
| 1740483700 | Vicki Leigh Mcguire | Marriage & Family Therapist | 465 34th St, Oakland, CA 94609-2815 | 2007-06-07 |
| 1437212438 | Eileen Wai-lin Heo | Counselor | 465 34th St, Oakland, CA 94609-2815 | 2006-12-19 |
| 1700990892 | Marvin Willard Jones | Social Worker | 465 34th St, Oakland, CA 94609-2815 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727906 | Carolina Bacchi Psychotherapy and Psychoanalysis, LLC | Psychologist | 5665 College Ave Ste 340c, Oakland, CA 94618-1658 | 2020-07-07 |
| 1558990770 | Laurie Jean Patraitis | Psychologist | 419 30th St Ste 3, Oakland, CA 94609-3374 | 2020-04-08 |
| 1194354001 | Lyndsay Dell | Psychologist | 4420 Penniman Ave Apt C, Oakland, CA 94619-2659 | 2020-04-02 |
| 1619513223 | Lesley A Parke | Psychologist | 445 Bellevue Ave Ste 302, Oakland, CA 94610-4923 | 2019-11-19 |
| 1700437233 | Laurette Schiff Gennis | Psychologist | 5655 College Ave Ste 315b, Oakland, CA 94618-1669 | 2019-09-25 |
| 1477112522 | Paul A Jackson | Psychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2019-06-12 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1689173759 | Bay Psychology Group Inc | Psychologist | 5297 College Ave Ste 103, Oakland, CA 94618-1462 | 2018-02-05 |
| 1861925034 | Sarah Carroll | Psychologist | 5757 Morse Dr, Oakland, CA 94605-1137 | 2017-04-05 |
| 1679026991 | Jessica Bol | Psychologist | 5327 College Ave Ste 1, Oakland, CA 94618-1416 | 2016-08-03 |
| Find all providers in OAKLAND | ||||
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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.