ELIZABETH L. NICKELS M.A., PSY.D.
NPI 1184882607
Psychologist - Clinical in San Leandro, CA

Q: What is Elizabeth Nickels's NPI number?

The NPI number for Elizabeth Nickels is 1184882607. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Q: What is Elizabeth Nickels's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Nickels was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 30, 2008

400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577(510) 746-1188 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Elizabeth L. Nickels M.a., Psy.d. NPPES

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

ELIZABETH L. NICKELS M.A., PSY.D. (NPI 1184882607) is an individual clinical provider in San Leandro, California, licensed in California (PSY22119) and active in the NPI registry since May 2008. She maintains a secondary practice location in Emeryville.

NPPES Registry Identity

NPI1184882607

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameELIZABETH L. NICKELSCredential: M.A., PSY.D.

Location Address400 ESTUDILLO AVE STE 100San Leandro, CA 94577-4962

Mailing Address2662 Wallace StOakland, CA 94606-3346 · (510) 414-2416 · Fax (510) 250-6923

Phone(510) 746-1188

Sole ProprietorNo

Enumeration DateMay 30, 2008

Last NPPES UpdateFebruary 16, 2021

NPPES CertifiedFebruary 16, 2021

✔ NPI 1184882607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY22119

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.

400 ESTUDILLO AVE STE 100, San Leandro, CA 94577

Open in Google Maps ↗

Secondary Practice Location 1

Location 11440 40th StEmeryville, CA 94608-3552 · Phone (510) 594-8800 ext. 357 · Fax (510) 250-6923

Other Providers at the Same Location NPPES 20

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

MAREN ELIZABETH TROTTER ASW

Counselor (Mental Health)