1. Home
  2. Directory
  3. South Carolina
  4. Hilton Head Island
  5. Psychologist
  6. NPI Profile

KELLY L NICHOLSON, PSYD
NPI 1285001560
Psychologist - Clinical in Hilton Head Island, SC

Active since August 21, 2015
19 SHELTER COVE LN, HILTON HEAD ISLAND, SC 29928(843) 226-6690 Get Directions Write a Review

NPPES record last updated: August 21, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly L Nicholson, Psyd NPPES

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

KELLY L NICHOLSON, PSYD (NPI 1285001560) is a healthcare organization registered as a clinical in Hilton Head Island, South Carolina and active in the NPI registry since August 2015. The organization lists Kelly L Nicholson, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1285001560
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKELLY L NICHOLSON, PSYD
Location Address19 SHELTER COVE LNHilton Head Island, SC 29928-3520
Mailing Address22 Redbud WayBluffton, SC 29910-5605 · (843) 226-6690
Phone(843) 226-6690
Organization SubpartNo
Authorized OfficialKelly L NicholsonPsychologist · (843) 226-6690
Enumeration DateAugust 21, 2015
✔ NPI 1285001560 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 SC · 1340
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.
19 SHELTER COVE LN, Hilton Head Island, SC 29928
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly L Nicholson, Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly L Nicholson, Psyd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Nicholson, PSY.D.
Clinical Psychologist
NPI 1043424807
1605 MOONSTONE LN
Castle Rock, CO 80108
(720) 588-6772
✔ PECOS✔ Accepts Medicare1,438 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kelly L Nicholson, Psyd's NPI number?

The NPI number for Kelly L Nicholson, Psyd is 1285001560. It was assigned to this organization in the NPPES registry on August 21, 2015.

Where is Kelly L Nicholson, Psyd located?

Kelly L Nicholson, Psyd is located at 19 Shelter Cove Ln, Hilton Head Island, SC 29928. The listed phone number is (843) 226-6690.

What is Kelly L Nicholson, Psyd's specialty?

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

Is Kelly L Nicholson, Psyd enrolled in Medicare?

Yes. Kelly L Nicholson, Psyd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly L Nicholson, Psyd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kelly L Nicholson, Psyd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly L Nicholson, Psyd was last updated on August 21, 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.