DAVID L NICHOLS PHD
NPI 1063409852
Psychologist - Counseling in Sturtevant, WI

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
8700 DURAND AVE STE 600, STURTEVANT, WI 53177(262) 635-5520(262) 635-5530 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David L Nichols Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID L NICHOLS PHD (NPI 1063409852) is an individual counseling provider in Sturtevant, Wisconsin, licensed in Wisconsin (943-057) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Racine, and is a graduate of State University Of New York At Buffalo School Of Medicine (1980).

NPPES Registry Identity

NPI1063409852
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDAVID L NICHOLSCredential: PHD
Location Address8700 DURAND AVE STE 600Sturtevant, WI 53177-2096
Mailing Address8700 Durand Ave Ste 600Sturtevant, WI 53177-2096 · (262) 635-5520 · Fax (262) 635-5530
Fax(262) 635-5530
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1980
Enumeration DateOctober 5, 2005
Last NPPES UpdateMarch 27, 2018
NPI 1063409852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in WI · 943-057
Definition

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

8700 DURAND AVE STE 600, Sturtevant, WI 53177

Secondary Practice Location 1

Location 11244 Wisconsin Ave Ste 303Racine, WI 53403-1987 · Phone (262) 635-5520 · Fax (262) 635-5530

Other Identifiers 1

Medicaid39027600WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David L Nichols Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173529617
PECOS Enrollment IDI20061006000077
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
326 services29 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
8700 DURAND AVE STE 600
STURTEVANT, WI 53177
Psychiatry & Neurology (Psychiatry)
8700 DURAND AVE STE 600
STURTEVANT, WI 53177
Psychologist (Prescribing (Medical))
8700 DURAND AVE STE 600
STURTEVANT, WI 53177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Nichols's NPI number?

The NPI number for David Nichols is 1063409852. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is David Nichols located?

David Nichols practices at 8700 Durand Ave Ste 600, Sturtevant, WI 53177. The listed phone number is (262) 635-5520.

What is David Nichols's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is David Nichols enrolled in Medicare?

Yes. David Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Nichols accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Network Health and UnitedHealthcare list David Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Nichols was last updated on March 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.