MRS. KRIS SANDRA NICOLICH LLP
NPI 1790203750
Psychologist - Cognitive & Behavioral in Dexter, MI

Q: What is Kris Nicolich's NPI number?

The NPI number for Kris Nicolich is 1790203750. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Q: What is Kris Nicolich's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Kris Nicolich was last updated on August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 30, 2017

3258 BROAD ST, DEXTER, MI 48130(734) 718-4579 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kris Sandra Nicolich Llp NPPES

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

MRS. KRIS SANDRA NICOLICH LLP (NPI 1790203750) is an individual cognitive & behavioral provider in Dexter, Michigan, licensed in Michigan (6301011113) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1790203750

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameMRS. KRIS SANDRA NICOLICHCredential: LLP

Location Address3258 BROAD STDexter, MI 48130-1142

Mailing Address3265 Eastridge DrDexter, MI 48130-9392 · (734) 718-4579

Phone(734) 718-4579

Sole ProprietorYes

Enumeration DateAugust 30, 2017

✔ NPI 1790203750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in MI · 6301011113

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

3258 BROAD ST, Dexter, MI 48130

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Other Providers at the Same Location NPPES

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

MS. LAURA VICTORIA SHIPLEY MS

Psychologist (Clinical)

3258 BROAD ST
DEXTER, MI 48130

Washtenaw County (734) 664-2528

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 Kris Nicolich's NPI number?

The NPI number for Kris Nicolich is 1790203750. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Kris Nicolich located?

Kris Nicolich practices at 3258 Broad St, Dexter, MI 48130. The listed phone number is (734) 718-4579.

What is Kris Nicolich's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Kris Nicolich was last updated on August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.