TIMOTHY ROBERT NICHOLS PSYCHOLOGIST MS
NPI 1477045433
Psychologist in Scott Depot, WV

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560(304) 757-6999(304) 757-6999 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2025, May 6, 2025, Aug 14, 2024 (3 updates tracked since 2024).

About Timothy Robert Nichols Psychologist Ms NPPES

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

TIMOTHY ROBERT NICHOLS PSYCHOLOGIST MS (NPI 1477045433) is an individual psychologist in Scott Depot, West Virginia, licensed in West Virginia (1356) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Scott Depot, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1477045433
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTIMOTHY ROBERT NICHOLSCredential: PSYCHOLOGIST MS
Location Address97 GREAT TEAYS BLVD STE 6Scott Depot, WV 25560-9816
Mailing Address103 Brookside DrScott Depot, WV 25560-9736 · (304) 790-2432 · Fax (304) 302-0527
Fax(304) 757-6999
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 5, 2018
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
NPI 1477045433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WV · 1356
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
97 GREAT TEAYS BLVD STE 6, Scott Depot, WV 25560

Secondary Practice Location 1

Location 1103 Brookside DrScott Depot, WV 25560-9736 · Phone (304) 272-5517 · Fax (304) 272-5520

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy Robert Nichols Psychologist Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820514615
PECOS Enrollment IDI20250424001745
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.

Other Providers at the Same Location NPPES 16

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

Social Worker (Clinical)
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560
Physician Assistant
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560
Family Medicine
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560
Internal Medicine
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560
Dietitian, Registered
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560
Psychologist
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560
Psychiatry & Neurology (Psychiatry)
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560
Psychiatry & Neurology (Psychiatry)
97 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560

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 Timothy Nichols's NPI number?

The NPI number for Timothy Nichols is 1477045433. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Timothy Nichols located?

Timothy Nichols practices at 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560. The listed phone number is (304) 757-6999.

What is Timothy Nichols's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Timothy Nichols enrolled in Medicare?

Yes. Timothy Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Nichols accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Timothy Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Nichols was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.