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MR. RAYMOND JOSEPH NICKERSON PSY.D.
NPI 1982969226
Psychologist - Clinical in Richmond, CA

Active since July 12, 2012PECOS Enrolled
3095 RICHMOND PKWY STE 201, RICHMOND, CA 94806(510) 282-4211 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Raymond Joseph Nickerson Psy.d. NPPES

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

MR. RAYMOND JOSEPH NICKERSON PSY.D. (NPI 1982969226) is an individual clinical provider in Richmond, California, licensed in California (PSY31676) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982969226
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. RAYMOND JOSEPH NICKERSONCredential: PSY.D.
Location Address3095 RICHMOND PKWY STE 201Richmond, CA 94806-5878
Mailing Address4175 Lakeside DrRichmond, CA 94806-5774 · (510) 262-6551
Phone(510) 282-4211
Sole ProprietorNo
Enumeration DateJuly 12, 2012
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1982969226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY31676
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LMFT47165 (CA)
3095 RICHMOND PKWY STE 201, Richmond, CA 94806
Open in Google Maps ↗

Other Identifiers 1

Other1245393503Medical

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Raymond Joseph Nickerson Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

KALYANI AKULA
Psychologist (Counseling)
3095 RICHMOND PKWY STE 201
RICHMOND, CA 94806
Contra Costa County (510) 778-2816
KELSEY SCHUR
Psychologist (Counseling)
3095 RICHMOND PKWY STE 201
RICHMOND, CA 94806
Contra Costa County (510) 778-2817
MR. PETER CEDRIC TRAWIN
Rehabilitation Practitioner
3095 RICHMOND PKWY STE 201
RICHMOND, CA 94806
Contra Costa County (510) 441-1791
KYLE LAMAY
Psychologist (Counseling)
3095 RICHMOND PKWY STE 201
RICHMOND, CA 94806
Contra Costa County (510) 778-2816
TAYARI LAVAN CARTER
Psychologist (Counseling)
3095 RICHMOND PKWY STE 201
RICHMOND, CA 94806
Contra Costa County (510) 778-2816
MS. LYNITRA LYNETTE BATTLE-GRANT
Rehabilitation Practitioner
3095 RICHMOND PKWY STE 201
RICHMOND, CA 94806
Contra Costa County (510) 447-1777
ANTOINETTE M GIBSON
Student in an Organized Health Care Education/Training Program
3095 RICHMOND PKWY STE 201
RICHMOND, CA 94806
Contra Costa County (510) 778-2816
PORTIA BELL HUME CENTER
Case Management
3095 RICHMOND PKWY STE 201, APT B
RICHMOND, CA 94806
Contra Costa County (510) 322-1955

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 Raymond Nickerson's NPI number?

The NPI number for Raymond Nickerson is 1982969226. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Raymond Nickerson located?

Raymond Nickerson practices at 3095 Richmond Pkwy Ste 201, Richmond, CA 94806. The listed phone number is (510) 282-4211.

What is Raymond Nickerson's specialty?

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

Is Raymond Nickerson enrolled in Medicare?

Yes. Raymond Nickerson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raymond Nickerson was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.