Provider Type Icon

DR. CHRISTINE MARIE NICHOLSON PH.D. NPI 1972613115


NPI Information

NPI: 1972613115
Provider Name: DR. CHRISTINE MARIE NICHOLSON, PH.D.
Classification: Psychologist - 103T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
530B N 5TH AVE
SEQUIM, WA
ZIP 98382
Phone: (360) 683-4845
Get Directions

DR. Christine Marie Nicholson, PH.D. is a psychologist in Sequim, WA with 45 years of experience. The provider is 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. DR. Christine Marie Nicholson, PH.D. NPI is 1972613115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

530B N 5TH AVE
SEQUIM, WA
ZIP 98382-079
Phone: (360) 683-4845
Fax: (425) 285-9344

The NPI 1972613115 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.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/8/2008.


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
1103TC0700XPsychologistClinical253NEW MEXICONo
2103TC0700XPsychologistClinical3423WASHINGTONNo
3103TC2200XPsychologistClinical Child & Adolescent3423WASHINGTONNo
4103TS0200XPsychologistSchool3423WASHINGTONNo
5103T00000XPsychologist3423WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100NM00N925OTHERNEW MEXICOANTHEM
222234OTHERNEW MEXICOPRESBYTERIAN HEALTH
3100140OTHERNEW MEXICOVALUE OPTIONS
4000N6325MEDICAIDNEW MEXICO
5NM00N925OTHERNEW MEXICOBLUE CROSS, BLUE SHIELD

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.