MARY LEE NICHOLS PHD LLC
NPI 1861974776
Psychologist in Portland, OR

Active since September 06, 2018
1133 NW 21ST AVE, PORTLAND, OR 97209(503) 277-3868(503) 650-1892 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Lee Nichols Phd Llc NPPES

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

MARY LEE NICHOLS PHD LLC (NPI 1861974776) is a healthcare organization registered as a psychologist in Portland, Oregon and active in the NPI registry since September 2018. The organization lists Kathy Winslow, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861974776
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMARY LEE NICHOLS PHD LLC
Location Address1133 NW 21ST AVEPortland, OR 97209-1513
Mailing Address1133 Nw 21st AvePortland, OR 97209-1513 · (503) 277-3868 · Fax (503) 650-1892
Fax(503) 650-1892
Organization SubpartNo
Authorized OfficialKathy WinslowOffice Manager · (503) 277-3868
Enumeration DateSeptember 6, 2018
NPI 1861974776 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 OR · 949
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.
1133 NW 21ST AVE, Portland, OR 97209

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Psychologist
1133 NW 21ST AVE
PORTLAND, OR 97209
Psychologist (Clinical)
1133 NW 21ST AVE, SUITE 204
PORTLAND, OR 97209
Psychologist
1133 NW 21ST AVE
PORTLAND, OR 97209
Psychologist (Clinical)
1133 NW 21ST AVE, SUITE 203
PORTLAND, OR 97209
Counselor (Professional)
1133 NW 21ST AVE, SUITE 201
PORTLAND, OR 97209
Counselor (Mental Health)
1133 NW 21ST AVE
PORTLAND, OR 97209
Psychologist (Clinical)
1133 NW 21ST AVE
PORTLAND, OR 97209
Psychologist (Clinical)
1133 NW 21ST AVE
PORTLAND, OR 97209

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 Mary Lee Nichols Phd LLC's NPI number?

The NPI number for Mary Lee Nichols Phd LLC is 1861974776. It was assigned to this organization in the NPPES registry on September 6, 2018.

Where is Mary Lee Nichols Phd LLC located?

Mary Lee Nichols Phd LLC is located at 1133 NW 21st Ave, Portland, OR 97209. The listed phone number is (503) 277-3868.

What is Mary Lee Nichols Phd LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Lee Nichols Phd LLC was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.