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NICOLE GRAHAM PHD PA
NPI 1427664176
Clinical Neuropsychologist in Fort Lauderdale, FL

Active since September 18, 2020
12 SE 7TH ST STE 705, FORT LAUDERDALE, FL 33301(954) 365-5366 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2024, Sep 18, 2020 (2 updates tracked since 2020).

About Nicole Graham Phd Pa NPPES

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

NICOLE GRAHAM PHD PA (NPI 1427664176) is a healthcare organization registered as a clinical neuropsychologist in Fort Lauderdale, Florida and active in the NPI registry since September 2020. The organization lists Nicole Graham, President, as its authorized official.

NPPES Registry Identity

NPI1427664176
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameNICOLE GRAHAM PHD PA
Location Address12 SE 7TH ST STE 705Fort Lauderdale, FL 33301-3469
Mailing Address12 Se 7th St Ste 705Fort Lauderdale, FL 33301-3469 · (954) 365-5366
Phone(954) 365-5366
Organization SubpartNo
Authorized OfficialNicole GrahamPresident · (954) 365-5366
Enumeration DateSeptember 18, 2020
Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1427664176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
12 SE 7TH ST STE 705, Fort Lauderdale, FL 33301
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Group Practice 1

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

Other Providers at the Same Location NPPES 2

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

NICOLE GRAHAM PH.D.
Clinical Neuropsychologist
12 SE 7TH ST STE 705
FORT LAUDERDALE, FL 33301
Broward County (954) 365-5366
PRIVATE MENTAL HEALTH GROUP, LLC
Psychiatry & Neurology (Psychiatry)
12 SE 7TH ST STE 705
FORT LAUDERDALE, FL 33301
Broward County (954) 794-9000

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 Nicole Graham Phd PA's NPI number?

The NPI number for Nicole Graham Phd PA is 1427664176. It was assigned to this organization in the NPPES registry on September 18, 2020.

Where is Nicole Graham Phd PA located?

Nicole Graham Phd PA is located at 12 SE 7th St Ste 705, Fort Lauderdale, FL 33301. The listed phone number is (954) 365-5366.

What is Nicole Graham Phd PA's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Nicole Graham Phd PA was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.