DR. KATHLEEN ANNE NICKERSON PHD
NPI 1639219694
Psychologist - Clinical in Newport Beach, CA

Q: What is Kathleen Nickerson's NPI number?

The NPI number for Kathleen Nickerson is 1639219694. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Kathleen Nickerson's specialty?

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

Active since February 07, 2007

280 NEWPORT CENTER DR, SUITE 200, NEWPORT BEACH, CA 92660(949) 222-6688(949) 716-7885 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kathleen Anne Nickerson Phd NPPES

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

DR. KATHLEEN ANNE NICKERSON PHD (NPI 1639219694) is an individual clinical provider in Newport Beach, California, licensed in California (PSY20446) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1639219694

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KATHLEEN ANNE NICKERSONCredential: PHD

Location Address280 NEWPORT CENTER DR, SUITE 200Newport Beach, CA 92660-7526

Mailing Address280 Newport Center Dr, Suite 200Newport Beach, CA 92660-7526 · (949) 222-6688 · Fax (949) 716-7885

Phone(949) 222-6688

Fax(949) 716-7885

Sole ProprietorNo

Enumeration DateFebruary 7, 2007

Last NPPES UpdateApril 11, 2008

✔ NPI 1639219694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY20446

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.

280 NEWPORT CENTER DR, Newport Beach, CA 92660

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Other Identifiers 1

Medicare ID-Type UnspecifiedCP20446ACA · Medicare Provider

Other Providers at the Same Location NPPES 9

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

PACIFICA COSMETIC SURGERY CENTER, A MEDICAL CORP

Clinic/Center (Health Service)

280 NEWPORT CENTER DR, SUITE 120
NEWPORT BEACH, CA 92660

Orange County (949) 640-9570

FARZAN SHABBIR RAJPUT MD

Internal Medicine (Cardiovascular Disease)

280 NEWPORT CENTER DR, SUITE 110
NEWPORT BEACH, CA 92660

Orange County (949) 870-6668

MRS. KELLY EUNJOO KIM LAC

Acupuncturist

280 NEWPORT CENTER DR, SUITE 200
NEWPORT BEACH, CA 92660

Orange County (949) 729-9987

COASTAL COUNSELING & COACHING, INC

Community/Behavioral Health

280 NEWPORT CENTER DR, SUITE 200
NEWPORT BEACH, CA 92660

Orange County (949) 222-6688

FARZAN S. RAJPUT, MD INC

Internal Medicine (Cardiovascular Disease)

280 NEWPORT CENTER DR, SUITE 110
NEWPORT BEACH, CA 92660

Orange County (949) 870-6668

DR. JAMES WILLIAM CORREA DDS

Dentist

280 NEWPORT CENTER DR, #230
NEWPORT BEACH, CA 92660

Orange County (949) 706-2100

SARAH K KWON

Acupuncturist

280 NEWPORT CENTER DR, 200
NEWPORT BEACH, CA 92660

Orange County (949) 729-9909

WAVE IMAGING LLC

Clinic/Center (Radiology)

280 NEWPORT CENTER DR, SUITE 100
NEWPORT BEACH, CA 92660

Orange County (949) 706-2000

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 Kathleen Nickerson's NPI number?

The NPI number for Kathleen Nickerson is 1639219694. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Kathleen Nickerson located?

Kathleen Nickerson practices at 280 Newport Center Dr Suite 200, Newport Beach, CA 92660. The listed phone number is (949) 222-6688.

What is Kathleen Nickerson'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 Kathleen Nickerson was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.