DR. NICOLE DANIELLA CHAIKIN PSY.D.
NPI 1962607010
Psychologist - Clinical in Berwyn, PA

Q: What is Nicole Chaikin's NPI number?

The NPI number for Nicole Chaikin is 1962607010. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Q: What is Nicole Chaikin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Nicole Chaikin enrolled in Medicare?

No. Nicole Chaikin has opted out of Medicare through July 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nicole Chaikin was last updated on August 12, 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.

Active since June 19, 2007Opted out of Medicare · through Jul 18, 2028

1171 LANCASTER AVE STE 100, BERWYN, PA 19312(484) 674-6324(484) 674-6324 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Nicole Daniella Chaikin Psy.d. NPPES

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

DR. NICOLE DANIELLA CHAIKIN PSY.D. (NPI 1962607010) is an individual clinical provider in Berwyn, Pennsylvania, licensed in Pennsylvania (PS015647) and active in the NPI registry since June 2007. She has opted out of Medicare through July 18, 2028.

NPPES Registry Identity

NPI1962607010

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICOLE DANIELLA CHAIKINCredential: PSY.D.

Location Address1171 LANCASTER AVE STE 100Berwyn, PA 19312-2602

Mailing Address35 Sandy LnMalvern, PA 19355-3027 · (610) 651-0557 · Fax (610) 651-0392

Phone(484) 674-6324

Fax(484) 674-6324

Sole ProprietorYes

Enumeration DateJune 19, 2007

Last NPPES UpdateAugust 12, 2024

NPPES CertifiedAugust 12, 2024

✔ NPI 1962607010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS015647

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1171 LANCASTER AVE STE 100, Berwyn, PA 19312

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nicole Daniella Chaikin Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2024 through July 18, 2028.

Opt-Out Effective DateJuly 18, 2024

Opt-Out In Effect ThroughJuly 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

EMILY JEAN PAULL PSYD

Psychologist (Clinical)