Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790754331 Individual Practitioner Male Practitioner

Dr. Eric Richard Nicely , PhD

Psychologist • Bowling Green, OH

Professional Overview & Biography Verified Profile Summary

Dr. Eric Nicely, PhD is a registered healthcare professional specializing in Psychologist in Bowling Green, OH. Practice services are available at 970 W WOOSTER ST under active NPI credentials.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation, administration of psychological or neuropsychological test, administration of psychological or neuropsychological test, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

970 W Wooster St
Ste. 124

Bowling Green, OH 434022643

Telephone 4193526666
Fax 4193531117
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bowling Green, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Bowling Green, OH (1639 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
43 42 $207.56 $135.88
96137 Administration of psychological or neuropsychological test, each additional 30 minutes
23 23 $86.00 $41.42
96136 Administration of psychological or neuropsychological test, first 30 minutes
23 23 $88.61 $44.99
96130 Evaluation of psychological test, first hour
11 11 $120.00 $115.16

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH 4016

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0698099 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Elaine Bruckner , PhD

Psychologist - Clinical

NPI 1063596567

Doctor of Philosophy (Ph.D.)

Dr. Patricia Shawberry , MD

Psychiatry & Neurology - Psychiatry

NPI 1356450340

Doctor of Medicine (M.D.)

Dr. Marlys Reetz , PhD

Psychologist - Clinical

NPI 1467473447

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 03, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2008

Registered at 970 W WOOSTER ST, STE. 124, BOWLING GREEN, OH 434022643 (Tel: 4193526666)

📍
Updated Business Mailing Address January 03, 2008

Registered at 4841 MONROE ST, STE. 100, TOLEDO, OH 436234385 (Tel: 4193526666)

👤
Provider Name / Credentials Updated January 03, 2008

Recorded as ERIC NICELY, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2008

Psychologist (License #4016 in OH)

🟢
Initial NPI Registration & Enumeration March 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790754331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2006
Last Update: January 03, 2008
Sole Proprietor: No

Mailing Address

4841 Monroe St, Ste. 100

Toledo, OH 436234385

Phone: 4193526666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.