DR. JENNY ELIZABETH NICHOLS PSY.D.
NPI 1316455926
Psychologist - Clinical in Roseville, CA

Q: What is Jenny Nichols's NPI number?

The NPI number for Jenny Nichols is 1316455926. It was assigned to this individual provider in the NPPES registry on January 17, 2018. The provider is also known as Jenny E Imberi.

Q: What is Jenny Nichols'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 Jenny Nichols was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 17, 2018PECOS Enrolled

1660 E ROSEVILLE PKWY, ROSEVILLE, CA 95661(167) 844-0009(877) 738-4262 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2022, Nov 9, 2021, Jan 17, 2018 (3 updates tracked since 2018).

On this page

About Dr. Jenny Elizabeth Nichols Psy.d. NPPES

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

DR. JENNY ELIZABETH NICHOLS PSY.D. (NPI 1316455926) is an individual clinical provider in Roseville, California, licensed in California (PSY29243) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316455926

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JENNY ELIZABETH NICHOLSCredential: PSY.D.

Location Address1660 E ROSEVILLE PKWYRoseville, CA 95661-3988

Mailing Address1660 E Roseville PkwyRoseville, CA 95661-3988 · (167) 844-0009 · Fax (877) 738-4262

Phone(167) 844-0009

Fax(877) 738-4262

Sole ProprietorNo

Enumeration DateJanuary 17, 2018

Last NPPES UpdateJanuary 11, 20223 updates tracked since enumeration

NPPES CertifiedNovember 9, 2021

✔ NPI 1316455926 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 · PSY29243

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.

1660 E ROSEVILLE PKWY, Roseville, CA 95661

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Other Names 1

Other Name (5)Jenny E Imberi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jenny Elizabeth Nichols Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jenny Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

50 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RICAFORT C REYES II

Marriage & Family Therapist

1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661

Placer County (916) 784-4000

MIA SHEPHERD

Social Worker (Clinical)

1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661

Placer County (916) 878-4066

MS. MARION BARBARA HALECKER MFT

Marriage & Family Therapist

1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661

Placer County (916) 973-5300

NESTOR SAUL DAVILA-CARRANZA LCSW

Social Worker (Clinical)

1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661

Placer County (916) 878-4045

DR. THOMAS EMERSON ELMORE PHD

Psychologist (Clinical)

1660 E ROSEVILLE PKWY, KAISER DEPARTMENT OF PSYCHIATRY
ROSEVILLE, CA 95661

Placer County (916) 973-5300

DR. MICHAEL EDWARD ALAN HANLON PH.D.

Psychologist

1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661

Placer County (916) 973-5300

MS. DONNA MARIE PIEPER LCSW

Social Worker (Clinical)

1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661

Placer County (916) 771-7648

DONALD ROBINSON MD

Psychiatry & Neurology (Psychiatry)

1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661

Placer County (916) 771-6787

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 Jenny Nichols's NPI number?

The NPI number for Jenny Nichols is 1316455926. It was assigned to this individual provider in the NPPES registry on January 17, 2018. The provider is also known as Jenny E Imberi.

Where is Jenny Nichols located?

Jenny Nichols practices at 1660 E Roseville Pkwy, Roseville, CA 95661. The listed phone number is (167) 844-0009.

What is Jenny Nichols's specialty?

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

Is Jenny Nichols enrolled in Medicare?

Yes. Jenny Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenny Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Nichols reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Jenny Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenny Nichols was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.