JOHN MALLORY NICHOLSON MD
NPI 1992730444
Psychiatry & Neurology - Child & Adolescent Psychiatry in Hudson Falls, NY
- Individual
- Male
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
About JOHN NICHOLSON
This page provides the complete NPI Profile along with additional information for John Nicholson, a provider established in Hudson Falls, New York with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1992730444 assigned on July 2006. The practitioner's primary taxonomy code is 2084P0804X with license number 00126924 (NY). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1992730444 Verify this NPI
- Provider Name
- JOHN MALLORY NICHOLSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3043 STATE ROUTE 4 HUDSON FALLS, NY 12839
- Location Phone
- (518) 747-2284
- Location Fax
- (518) 747-2253
- Mailing Address
- 3043 STATE ROUTE 4 HUDSON FALLS, NY 12839
- Mailing Phone
- (518) 747-2284
- Mailing Fax
- (518) 747-2253
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-12-2006
- Last Update Date
- 05-19-2010
- Code Navigator
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
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 00126924
- License State
- NY
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 00126924 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 04042601887 | OTHER (01) | FIDELIS | |
| 10020051 | OTHER (01) | CDPHP | |
| 00490944002 | OTHER (01) | EMPIRE BC/BS BLUE CARD | |
| 53088A | OTHER (01) | MVP | |
| 00490944002 | OTHER (01) | EMPIRE BC/BS | |
| 00490944002 | OTHER (01) | MEDICARE SENIOR BLUE | |
| 000490944002 | OTHER (01) | BLUE SHIELD | |
| C64843 | MEDICARE UPIN (02) | ||
| 55053B | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 00490944002 | OTHER (01) | HEALTHNOW INTEGRATED | |
| 11123756 | OTHER (01) | CAQH | |
| 8U1371 | OTHER (01) | BLUE CROSS | |
| 00126924 | MEDICAID (05) | NY |
Reviews for JOHN MALLORY NICHOLSON MD
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HUDSON FALLS, NY 12839
HUDSON FALLS, NY 12839
HUDSON FALLS, NY 12839
HUDSON FALLS, NY 12839
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992730444, enumerated as an "individual" on July 12, 2006.
The provider is located at 3043 STATE ROUTE 4 HUDSON FALLS, NY 12839 and the phone number is (518) 747-2284.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
