NICOLA T FIDDES
NPI 1760937411
Psychologist in Oakland, CA

Active since August 23, 2016PECOS EnrolledAccepts Medicare Assignment
2579 SAN PABLO AVE, OAKLAND, CA 94612(510) 446-7100 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Sep 27, 2016, Aug 23, 2016 (3 updates tracked since 2016).

About Nicola T Fiddes NPPES

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

NICOLA T FIDDES (NPI 1760937411) is an individual psychologist in Oakland, California, licensed in California (33268) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vallejo, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760937411
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameNICOLA T FIDDES
Location Address2579 SAN PABLO AVEOakland, CA 94612-1159
Mailing Address2579 San Pablo AveOakland, CA 94612-1159 · (510) 446-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 23, 2016
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1760937411 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 CA · 33268
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.
2579 SAN PABLO AVE, Oakland, CA 94612

Secondary Practice Location 1

Location 11761 Broadway StVallejo, CA 94589-2226 · Phone (707) 651-1000

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

Nicola T Fiddes 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 ID4486036902
PECOS Enrollment IDI20220801000723
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 20

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

Specialist (Research Study)
2579 SAN PABLO AVE
OAKLAND, CA 94612
Counselor
2579 SAN PABLO AVE
OAKLAND, CA 94612
Student in an Organized Health Care Education/Training Program
2579 SAN PABLO AVE
OAKLAND, CA 94612
Counselor
2579 SAN PABLO AVE
OAKLAND, CA 94612
Marriage & Family Therapist
2579 SAN PABLO AVE
OAKLAND, CA 94612
Social Worker (Clinical)
2579 SAN PABLO AVE
OAKLAND, CA 94612
Counselor (Mental Health)
2579 SAN PABLO AVE
OAKLAND, CA 94612
Counselor
2579 SAN PABLO AVE
OAKLAND, CA 94612

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 Nicola Fiddes's NPI number?

The NPI number for Nicola Fiddes is 1760937411. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Nicola Fiddes located?

Nicola Fiddes practices at 2579 San Pablo Ave, Oakland, CA 94612. The listed phone number is (510) 446-7100.

What is Nicola Fiddes's specialty?

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

Is Nicola Fiddes enrolled in Medicare?

Yes. Nicola Fiddes 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.

When was this NPI record last updated?

The NPPES record for Nicola Fiddes was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.