ANDREW NICHOLS PH.D.
NPI 1902054091
Psychologist in Park City, UT
- Individual
- Male
- Psychologist
- PECOS Enrolled
- Opted-Out Medicare
About ANDREW NICHOLS
This page provides the complete NPI Profile along with additional information for Andrew Nichols, a provider established in Park City, Utah with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1902054091 assigned on September 2008. The practitioner's primary taxonomy code is 103T00000X with license number 8651960-2501 (UT). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1902054091 Verify this NPI
- Provider Name
- ANDREW NICHOLS PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1389 CENTER DR STE 200 PARK CITY, UT 84098
- Location Phone
- (435) 565-1816
- Mailing Address
- 1389 CENTER DR STE 200 PARK CITY, UT 84098
- Mailing Phone
- (435) 565-1816
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-03-2008
- Last Update Date
- 11-06-2014
- Code Navigator
A psychologist like Andrew Nichols studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Andrew Nichols opted out of Medicare effective on 01-01-2016 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 8651960-2501
- License State
- UT
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 019911 (NY) |
Medicare Participation & PECOS Enrollment Status
Andrew Nichols is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2016
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902054091, enumerated as an "individual" on September 03, 2008.
The provider is located at 1389 CENTER DR STE 200 PARK CITY, UT 84098 and the phone number is (435) 565-1816.
Psychologist with taxonomy code 103T00000X.
