NICOLE TERESE SUPROVICI MD
NPI 1689715120
Psychiatry & Neurology - Psychiatry in San Quentin, CA

Q: What is Nicole Suprovici's NPI number?

The NPI number for Nicole Suprovici is 1689715120. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Nicole Suprovici's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Suprovici was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 February 09, 2007

1 MAIN ST, SAN QUENTIN, CA 94964(415) 454-1460 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Terese Suprovici Md NPPES

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

NICOLE TERESE SUPROVICI MD (NPI 1689715120) is an individual psychiatry provider in San Quentin, California, licensed in California (NONE) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1689715120

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameNICOLE TERESE SUPROVICICredential: MD

Location Address1 MAIN STSan Quentin, CA 94964-1000

Mailing Address1 Main StSan Quentin, CA 94964-1000 · (415) 454-4160

Phone(415) 454-1460

Sole ProprietorNo

Enumeration DateFebruary 9, 2007

Last NPPES UpdateFebruary 9, 2016

✔ NPI 1689715120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · NONE

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1 MAIN ST, San Quentin, CA 94964

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Other Providers at the Same Location NPPES 20

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

DR. DENISE C ALABART REYES M.D.

Family Medicine

1 MAIN ST
SAN QUENTIN, CA 94964

Marin County (415) 454-1460

TOTAL RENAL CARE INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1 MAIN ST
SAN QUENTIN, CA 94964

Marin County (415) 444-0376

KAREN LIPPMAN PSY.D.

Psychologist

1 MAIN ST
SAN QUENTIN, CA 94964

Marin County (415) 454-1460

DR. STEVEN CHARLES GIBBS MD

Psychiatry & Neurology (Psychiatry)

1 MAIN ST, CALIFORNIA STATE PRISON, MENTAL HEALTH DEPT.
SAN QUENTIN, CA 94964

Marin County (415) 454-1460

DR. DAVID AITKEN JR. PSY.D.

Psychologist (Clinical)

1 MAIN ST
SAN QUENTIN, CA 94964

Marin County (415) 454-1460

SARAH DEWEESE PSYD

Psychologist

1 MAIN ST, SAN QUENTIN STATE PRISON
SAN QUENTIN, CA 94964

Marin County (415) 454-1460

DR. ROBERT STEINER PH.D

Psychologist

1 MAIN ST, CHSB RM 2123
SAN QUENTIN, CA 94964

Marin County (415) 454-1460

JUDY M. WICK LCSW

Social Worker (Clinical)

1 MAIN ST
SAN QUENTIN, CA 94964

Marin County (415) 454-1460

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 Suprovici's NPI number?

The NPI number for Nicole Suprovici is 1689715120. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Nicole Suprovici located?

Nicole Suprovici practices at 1 Main St, San Quentin, CA 94964. The listed phone number is (415) 454-1460.

What is Nicole Suprovici's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Nicole Suprovici was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.