MR. RAYMOND JOSEPH NICKERSON (NPI# 1982969226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982969226 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND JOSEPH NICKERSON |
| Credential | PSY.D. |
| Practice Address |
3095 Richmond Pkwy Ste 201 Richmond CA 94806-5878 |
| Mailing Address |
4175 Lakeside Dr Richmond CA 94806-5774 |
| Practice Telephone | 5102824211 |
| Mailing Telephone | 5102626551 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY31676 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LMFT47165 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAL | 1245393503 | 01 |
| Street Address |
3095 RICHMOND PKWY STE 201 |
| City | RICHMOND |
| State | CA |
| Zip Code | 94806-5878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174713093 | Lynitra Lynette Battle-grant | Counselor | 3095 Richmond Pkwy Ste 201, Richmond, CA 94806-5878 | 2007-07-26 |
| 1205433075 | Elizabeth Verdin | Counselor | 3095 Richmond Pkwy Ste 201, Richmond, CA 94806-5878 | 2020-10-05 |
| 1326600818 | Patrice Tweedy | Student in an Organized Health Care Education/Training Program | 3095 Richmond Pkwy Ste 201, Richmond, CA 94806-5878 | 2019-07-03 |
| 1043879620 | Melissa Glass | Student in an Organized Health Care Education/Training Program | 3095 Richmond Pkwy Ste 201, Richmond, CA 94806-5878 | 2019-06-07 |
| 1427583624 | Jamie Travis | Counselor | 3095 Richmond Pkwy Ste 201, Richmond, CA 94806-5878 | 2017-04-25 |
| 1093246555 | Diamond Ayana King | Counselor | 3095 Richmond Pkwy Ste 201, Richmond, CA 94806-5878 | 2017-03-24 |
| 1275078057 | Portia Bell Hume Center | Case Management | 3095 Richmond Pkwy Ste 201, Apt B, Richmond, CA 94806-5878 | 2017-01-03 |
| 1124254727 | Peter Cedric Trawin | Counselor | 3095 Richmond Pkwy Ste 201, Richmond, CA 94806-5878 | 2009-06-09 |
| 1285879353 | Margaret Ann Schiltz | Psychologist | 3095 Richmond Pkwy Ste 201, Richmond, CA 94806-5878 | 2008-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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|---|---|---|---|---|
| 1144796731 | A Step Forward Wellness Services LLC | Psychologist | 2002 Bremo Rd Ste 204, Richmond, VA 23226-2441 | 2018-10-22 |
| 1417435447 | Erin D. Kurtz | Psychologist | 1201 Broad Rock Blvd # 116b, Richmond, VA 23249-0001 | 2018-08-01 |
| 1649762873 | Caitlin Paige Campbell | Psychologist | 1201 Brock Road Blvd, Richmond, VA 23249-0001 | 2018-06-04 |
| 1689195141 | Kimberly Knight Hilton | Psychologist | 2401 Hartman St, Richmond, VA 23223-2458 | 2017-07-05 |
| 1720511504 | Marshall Psychological Services, LLC | Psychologist | 2800 N. Parham Road, Suite 107, Richmond, VA 23294 | 2017-04-07 |
| 1740732981 | Howard Lloyd | Psychologist | 907 Floyd Ave, Richmond, VA 23284-9026 | 2016-11-03 |
| 1679929061 | Elizabeth Meghan Archer Wheeler | Psychologist | 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 | 2016-05-04 |
| 1730558909 | Jodi Suzanne Couick | Psychologist | 3000 Parker Rd, Richmond, CA 94806-2742 | 2015-09-17 |
| 1386024461 | Rosalie Corona | Psychologist | 4730 East Southside Plaza, Richmond, VA 23224 | 2015-06-04 |
| 1649677337 | Yuriy Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2014-11-25 |
| Find all providers in RICHMOND | ||||
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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.