DR. JOY G. NICHOLS PHD
NPI 1528134186
Clinical Neuropsychologist in San Bernardino, CA

Q: What is Joy Nichols's NPI number?

The NPI number for Joy Nichols is 1528134186. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Q: What is Joy Nichols's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joy Nichols was last updated on July 21, 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 November 27, 2006PECOS Enrolled

85.18/100

CMS Quality Rating

2195 CLUB CENTER DR STE A, SAN BERNARDINO, CA 92408(909) 651-1899(909) 558-3809 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

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About Dr. Joy G. Nichols Phd NPPES

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

DR. JOY G. NICHOLS PHD (NPI 1528134186) is an individual clinical neuropsychologist in San Bernardino, California, licensed in California (PSY20567) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528134186

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. JOY G. NICHOLSCredential: PHD

Location Address2195 CLUB CENTER DR STE ASan Bernardino, CA 92408-4162

Mailing Address1501 Kings Hwy, Po Box 33932Shreveport, LA 71130-3932 · (318) 675-4783 · Fax (318) 675-6382

Phone(909) 651-1899

Fax(909) 558-3809

Sole ProprietorNo

Enumeration DateNovember 27, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1528134186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Licenses✔ Licensed in CA · PSY20567✔ Licensed in LA · 1062

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.

2195 CLUB CENTER DR STE A, San Bernardino, CA 92408

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joy G. Nichols Phd 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 Joy Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm

Same address

Ophthalmology

2195 CLUB CENTER DR, SUITE A-L
San Bernardino, CA 92408

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1962452714 (909) 558-2154

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.81

Promoting Interoperability

Improvement Activities

Cost

64.54

Other Providers at the Same Location NPPES 8

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

DR. HUA WANG M.D

Medical Genetics (Clinical Genetics (M.D.))