SHANA NICHOLS PHD
NPI 1073605614
Psychologist in Melville, NY

Active since September 29, 2006
63 OLD EAST NECK RD, MELVILLE, NY 11747(631) 923-0923 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shana Nichols Phd NPPES

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

SHANA NICHOLS PHD (NPI 1073605614) is an individual psychologist in Melville, New York, licensed in New York (016634) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1073605614
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHANA NICHOLSCredential: PHD
Location Address63 OLD EAST NECK RDMelville, NY 11747-2806
Mailing Address63 Old East Neck RdMelville, NY 11747-2806
Sole ProprietorYes
Enumeration DateSeptember 29, 2006
Last NPPES UpdateApril 20, 2015
NPI 1073605614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 016634
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2951 (CO), 2011000658 (MO), 001285 (IA)
63 OLD EAST NECK RD, Melville, NY 11747

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
63 OLD EAST NECK RD
MELVILLE, NY 11747
Social Worker
63 OLD EAST NECK RD
MELVILLE, NY 11747

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 Shana Nichols's NPI number?

The NPI number for Shana Nichols is 1073605614. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Shana Nichols located?

Shana Nichols practices at 63 Old East Neck Rd, Melville, NY 11747. The listed phone number is (631) 923-0923.

What is Shana Nichols's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Shana Nichols was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.