DR. AMANDA KATHRYN NICHOLSON PSYD
NPI 1841151289
Psychologist - Clinical Child & Adolescent in Concord, NC

Q: What is Amanda Nicholson's NPI number?

The NPI number for Amanda Nicholson is 1841151289. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Q: What is Amanda Nicholson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Nicholson was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 November 24, 2025PECOS EnrolledAccepts Medicare Assignment

1000 PROGRESS PL, CONCORD, NC 28025(866) 272-7826 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2025, Nov 24, 2025 (2 updates tracked since 2025).

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About Dr. Amanda Kathryn Nicholson Psyd NPPES

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

DR. AMANDA KATHRYN NICHOLSON PSYD (NPI 1841151289) is an individual clinical child & adolescent provider in Concord, North Carolina and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1841151289

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. AMANDA KATHRYN NICHOLSONCredential: PSYD

Location Address1000 PROGRESS PLConcord, NC 28025-2449

Mailing Address2021 Morton St Apt 223Charlotte, NC 28208-5340

Phone(866) 272-7826

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 24, 2025

Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1841151289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1000 PROGRESS PL, Concord, NC 28025

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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

Dr. Amanda Kathryn Nicholson Psyd 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 ID749765188

PECOS Enrollment IDI20260402002108

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 2

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

GABRIELLE ALEXANDRIA LOPEZ LCSWA

Social Worker (Clinical)

1000 PROGRESS PL
CONCORD, NC 28025

Cabarrus County (866) 272-7826

DANE WILHELM LCSW, LCAS

Social Worker (Clinical)

1000 PROGRESS PL
CONCORD, NC 28025

Cabarrus County (866) 272-7826

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 Amanda Nicholson's NPI number?

The NPI number for Amanda Nicholson is 1841151289. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Amanda Nicholson located?

Amanda Nicholson practices at 1000 Progress Pl, Concord, NC 28025. The listed phone number is (866) 272-7826.

What is Amanda Nicholson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Amanda Nicholson enrolled in Medicare?

Yes. Amanda Nicholson 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 Amanda Nicholson was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.