RYAN NICOLAS
NPI 1588098487
Counselor in Berkeley, CA

Active since August 27, 2013
1500 DERBY ST, BERKELEY, CA 94703(510) 644-6360 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ryan Nicolas NPPES

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

RYAN NICOLAS (NPI 1588098487) is an individual counselor in Berkeley, California and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1588098487
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameRYAN NICOLAS
Location Address1500 DERBY STBerkeley, CA 94703-1817
Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444
Sole ProprietorNo
Enumeration DateAugust 27, 2013
NPI 1588098487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1500 DERBY ST, Berkeley, CA 94703

Other Providers at the Same Location NPPES 3

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

Community Health Worker
1500 DERBY ST
BERKELEY, CA 94703
Community/Behavioral Health
1500 DERBY ST
BERKELEY, CA 94703
Counselor (Mental Health)
1500 DERBY ST
BERKELEY, CA 94703

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 Ryan Nicolas's NPI number?

The NPI number for Ryan Nicolas is 1588098487. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Where is Ryan Nicolas located?

Ryan Nicolas practices at 1500 Derby St, Berkeley, CA 94703. The listed phone number is (510) 644-6360.

What is Ryan Nicolas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ryan Nicolas was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.