DR. STEPHEN PRIOLEAU NICHOLS (NPI# 1962481093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962481093 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN PRIOLEAU NICHOLS |
| Credential | PH.D. |
| Practice Address |
204 N East Ave Fayetteville AR 72701-5225 |
| Practice Telephone | 4794420763 |
| Practice Fax Number | 4794425587 |
| Mailing Telephone | 4794420763 |
| Mailing Fax Number | 4794425587 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 79-36P | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD ID | 56343 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689705253 | Stephen Grant Nichols | Physical Therapist | 140 Eureka Street, Taylorsville, MS 39168 | 2007-03-08 |
| 1033275094 | Stephen Wayne Nichols | Chiropractor | 166 Athens St, Hartwell, GA 30643-1851 | 2006-12-27 |
| 1427145218 | Stephen P. Nichols | Orthopaedic Surgery | 351 Santa Fe Dr., Suite 100, Encinitas, CA 92024 | 2006-10-05 |
| 1184042897 | Stephen Nichols | Emergency Medicine | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2014-03-31 |
| 1841612470 | Stephen Nichols | Pharmacist | 1840 Amherst St, Winchester, VA 22601-2808 | 2014-01-16 |
| 1235419037 | Stephen Daniel Nichols | Counselor | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2011-08-24 |
| 1184780009 | Stephen A. Nichols | Pediatrics | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2006-12-28 |
| 1275540437 | Stephen Nichols | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-08-01 |
| 1912955899 | Stephen R. Nichols | Emergency Medicine | 1501 Burnet Rd, Brownwood, TX 76801-8520 | 2006-05-04 |
| 1245288364 | Stephen Nichols | Psychiatry & Neurology | 103 Valley Center Dr, Staunton, VA 24401-5080 | 2006-05-04 |
| Street Address |
204 N EAST AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72701-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659737575 | Donna M Van Kirk Edd Pllc | Psychologist | 204 N East Ave, Fayetteville, AR 72701-5225 | 2016-01-07 |
| 1235167578 | Donna M Van Kirk | Psychologist | 204 N East Ave, Fayetteville, AR 72701-5225 | 2006-06-28 |
| 1659351781 | Martin Thomas Faitak | Psychologist | 204 N East Ave, Fayetteville, AR 72701-5225 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1407204217 | Kenna Megan Hodeaux | Specialist/Technologist | 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 | 2016-06-02 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| Find all providers in zip 72701 | ||||
| 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 |
|---|---|---|---|---|
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1639725161 | Lauren Rosso | Psychologist | 19 E Mountain St Ste 5, Fayetteville, AR 72701-6067 | 2019-08-12 |
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1912483348 | Young Psychological Services, Pllc | Psychologist | 3800 Sunchase Dr, Fayetteville, NC 28306-8099 | 2018-07-18 |
| 1265951784 | Robert D Felner | Psychologist | 1255 N Montview Dr, Fayetteville, AR 72701-2892 | 2017-09-15 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1528479169 | Rebecca Crain | Psychologist | 2504 Raeford Rd Ste 102, Fayetteville, NC 28305-5135 | 2014-05-16 |
| 1114344330 | Lesley Teitelbaum | Psychologist | 5080 Bridle Path Rd, Fayetteville, NY 13066-9734 | 2014-03-26 |
| 1740605062 | Kimberlee Alane Cooper | Psychologist | 1200 Fairmont Ct, Fayetteville, NC 28304-4403 | 2014-02-24 |
| 1497176093 | Cheryl Funsch Smith | Psychologist | 2031 N Green Acres Rd Ste A, Fayetteville, AR 72703-2619 | 2013-12-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72701 |
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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.