TRACIE A NICOLL PHD NPI 1194331215

NPI Information

  • NPI: 1194331215
  • Provider Name: TRACIE A NICOLL PHD
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 245 E CHEYENNE MOUNTAIN BLVD
    COLORADO SPRINGS, CO
    ZIP 80906
  • Phone: (719) 247-3561

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NPI Details

TRACIE A NICOLL PHD is an adult mental health clinic center in Colorado Springs, CO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. TRACIE A NICOLL PHD NPI is 1194331215. The provider is registered as an organization entity type.

The provider's business location address is:

245 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS, CO
ZIP 80906-719
Phone: (719) 247-3561
Fax: (719) 362-4439

The provider's authorized official is Tracie A Nicoll .
The authorized official title is Clinical Psychologist and has the following contact phone number (719) 247-3561.

The enumeration date for this NPI number is 9/23/2020 and was last updated on 12/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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