WYATT L. NICHOLS, PH.D., PC
NPI 1356715445
Psychologist - Clinical in Cordova, TN

Q: What is Wyatt L. Nichols, Ph.D., PC's NPI number?

The NPI number for Wyatt L. Nichols, Ph.D., PC is 1356715445. It was assigned to this organization in the NPPES registry on November 30, 2015.

Q: What is Wyatt L. Nichols, Ph.D., PC's specialty?

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

Active since November 30, 2015

8142 COUNTRY VILLAGE DR STE 102, CORDOVA, TN 38016(901) 388-1893(901) 388-1995 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2018, Nov 30, 2015 (2 updates tracked since 2015).

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About Wyatt L. Nichols, Ph.d., Pc NPPES

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

WYATT L. NICHOLS, PH.D., PC (NPI 1356715445) is a healthcare organization registered as a clinical in Cordova, Tennessee and active in the NPI registry since November 2015. The organization lists Wyatt Lee Nichols, Owner, as its authorized official.

NPPES Registry Identity

NPI1356715445

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameWYATT L. NICHOLS, PH.D., PC

Location Address8142 COUNTRY VILLAGE DR STE 102Cordova, TN 38016-2029

Mailing Address8142 Country Village Dr Ste 102Cordova, TN 38016-2029 · (901) 388-1893 · Fax (901) 388-1995

Phone(901) 388-1893

Fax(901) 388-1995

Organization SubpartNo

Authorized OfficialWyatt Lee NicholsOwner · (901) 388-1893

Enumeration DateNovember 30, 2015

Last NPPES UpdateAugust 8, 20182 updates tracked since enumeration

✔ NPI 1356715445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TN · P866

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.

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License P866 (TN)

8142 COUNTRY VILLAGE DR STE 102, Cordova, TN 38016

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Other Providers at the Same Location NPPES

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

DR. WYATT LEE NICHOLS PH.D.

Psychologist (Clinical)

8142 COUNTRY VILLAGE DR STE 102
CORDOVA, TN 38016

Shelby County (901) 388-1893

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 Wyatt L. Nichols, Ph.D., PC's NPI number?

The NPI number for Wyatt L. Nichols, Ph.D., PC is 1356715445. It was assigned to this organization in the NPPES registry on November 30, 2015.

Where is Wyatt L. Nichols, Ph.D., PC located?

Wyatt L. Nichols, Ph.D., PC is located at 8142 Country Village Dr Ste 102, Cordova, TN 38016. The listed phone number is (901) 388-1893.

What is Wyatt L. Nichols, Ph.D., PC'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 Wyatt L. Nichols, Ph.D., PC was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.