Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHELLY NICOL, PSYD LLC
NPI 1083527360
Psychologist - Clinical in Portland, OR

Q: What is Shelly Nicol, Psyd LLC's NPI number?

The NPI number for Shelly Nicol, Psyd LLC is 1083527360. It was assigned to this organization in the NPPES registry on September 25, 2026.

Q: What is Shelly Nicol, Psyd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 25, 2026

4631 SE 62ND AVE, PORTLAND, OR 97206(808) 381-5834 Get Directions Write a Review

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Shelly Nicol, Psyd Llc NPPES

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

SHELLY NICOL, PSYD LLC (NPI 1083527360) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since September 2026. The organization lists Shelly Nicol, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1083527360

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSHELLY NICOL, PSYD LLC

Location Address4631 SE 62ND AVEPortland, OR 97206-4603

Mailing Address5441 S Macadam Ave Ste APortland, OR 97239-3822

Phone(808) 381-5834

Organization SubpartNo

Authorized OfficialShelly NicolPsychologist · (808) 381-5834

Enumeration DateSeptember 25, 2026

NPPES CertifiedSeptember 25, 2026

✔ NPI 1083527360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4631 SE 62ND AVE, Portland, OR 97206

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shelly Nicol, Psyd LLC's NPI number?

The NPI number for Shelly Nicol, Psyd LLC is 1083527360. It was assigned to this organization in the NPPES registry on September 25, 2026.

Where is Shelly Nicol, Psyd LLC located?

Shelly Nicol, Psyd LLC is located at 4631 SE 62nd Ave, Portland, OR 97206. The listed phone number is (808) 381-5834.

What is Shelly Nicol, Psyd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Shelly Nicol, Psyd LLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.