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NICKIE MATHEW
NPI 1194059592
Student in an Organized Health Care Education/Training Program in Williamsville, NY

Active since October 01, 2009
110 SPRING MEADO DR., APT. 14, WILLIAMSVILLE, NY 14221(716) 512-1680 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nickie Mathew NPPES

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

NICKIE MATHEW (NPI 1194059592) is an individual student in an organized health care education/training program in Williamsville, New York, licensed in New York (390200000XPSYCHIATRY) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1194059592
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICKIE MATHEW
Location Address110 SPRING MEADO DR., APT. 14Williamsville, NY 14221
Mailing Address110 Spring Meadow Dr, Apt. 14Williamsville, NY 14221-8420
Phone(716) 512-1680
Sole ProprietorYes
Enumeration DateOctober 1, 2009
✔ NPI 1194059592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 390200000XPSYCHIATRY
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
110 SPRING MEADO DR., Williamsville, NY 14221
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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 Nickie Mathew's NPI number?

The NPI number for Nickie Mathew is 1194059592. It was assigned to this individual provider in the NPPES registry on October 1, 2009.

Where is Nickie Mathew located?

Nickie Mathew practices at 110 Spring Meado Dr. Apt. 14, Williamsville, NY 14221. The listed phone number is (716) 512-1680.

What is Nickie Mathew's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nickie Mathew was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.