MICHAEL KIAMOS NICHOLAS RN MSN PMHNP-BC NPI 1275262214

NPI Information

  • NPI: 1275262214
  • Provider Name: MICHAEL KIAMOS NICHOLAS, RN, MSN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3075 ADELINE ST.
    #280
    BERKELEY, CA
    ZIP 94703
  • Phone: (510) 981-4100

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NPI Details

Michael Kiamos Nicholas, RN, MSN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Berkeley, CA. Michael Kiamos Nicholas, RN, MSN, PMHNP-BC NPI is 1275262214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3075 ADELINE ST.
#280
BERKELEY, CA
ZIP 94703
Phone: (510) 981-4100

The NPI 1275262214 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2022 and was last updated on 12/9/2022.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNP95019631CALIFORNIAYes

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: 11/21/2025

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