npidexNPI registry + Medicare data

CHRISTOPHER NICHOLLS, PH.D.

Clinical Neuropsychologist · SCOTTSDALE, AZ

Individual Active Opted out of Medicare NPI 1265655138

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Neuropsychologist103G00000X✓1139AZ
Clinical Psychologist103TC0700X1139AZ
Clinical Child & Adolescent Psychologist103TC2200X1139AZ

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2015-10-01 through 2027-10-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.