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Active NPI 1063409852 Individual Practitioner Male Practitioner

Dr. David L Nichols , PhD

Psychologist - Counseling • Sturtevant, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Nichols, PhD is a certified Psychologist - Counseling practicing in Sturtevant, WI. With approximately 46 years of clinical experience since graduating from State University Of New York At Buffalo School Of Medicine in 1980, Dr. Nichols delivers high-quality medical care to the local community at 8700 DURAND AVE STE 600.

Dr. Nichols is affiliated with Psychiatric Services Of Racine Llp and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8700 Durand Ave Ste 600

Sturtevant, WI 531772096

Telephone 2626355520
Fax 2626355530
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

State University Of New York At Buffalo School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Sturtevant, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
46 Yrs Matches City Avg
City Avg: 46.0 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Sturtevant, WI (96 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nichols (46 Years) 46 Yrs
Sturtevant Specialty Average (46.0 Years) 46.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
326 29 $251.58 $98.72

Medical Specialties & State Licenses

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License WI 943-057

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
39027600 (WI)

Hospital & Practice Group Affiliations

Psychiatric Services Of Racine Llp

8700 Durand Ave, Sturtevant, WI 531772096

Phone: 2626355520

Secondary Practice Locations

1244 Wisconsin Ave Ste 303

Racine, WI 534031987

Phone: 2626355520

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. William Bjerregaard , MD

Psychiatry & Neurology - Psychiatry

NPI 1043207806

Doctor of Medicine (M.D.)

Stephanie Hanson , LCSW

Social Worker - Clinical

NPI 1124015904

Licensed Clinical Social Worker

Dr. Robert Callaghan , MD

Psychiatry & Neurology - Psychiatry

NPI 1275520033

Doctor of Medicine (M.D.)

Dr. Marilyn Befera-Zielinski , PhD

Psychologist - Clinical

NPI 1386631158

Doctor of Philosophy (Ph.D.)

Donald Walters , LCSW

Social Worker - Clinical

NPI 1417944216

Licensed Clinical Social Worker

Dr. Ahmad Khan , MD

Psychiatry & Neurology - Psychiatry

NPI 1629065404

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2018

Registered at 8700 DURAND AVE STE 600, STURTEVANT, WI 531772096 (Tel: 2626355520)

📍
Updated Business Mailing Address March 27, 2018

Registered at 8700 DURAND AVE STE 600, STURTEVANT, WI 531772096 (Tel: 2626355520)

👤
Provider Name / Credentials Updated March 27, 2018

Recorded as DAVID NICHOLS, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2018

Psychologist (License #943-057 in WI)

NPI Profile Active February 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 29, 2012

Registered at 1244 WISCONSIN AVE, SUITE 303, RACINE, WI 534031987 (Tel: 2626355520)

📍
Updated Business Mailing Address February 29, 2012

Registered at 1244 WISCONSIN AVE, SUITE 303, RACINE, WI 534031987 (Tel: 2626355520)

👤
Provider Name / Credentials Updated February 29, 2012

Recorded as DAVID NICHOLS, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2012

Psychologist (License #943-057 in WI)

🟢
Initial NPI Registration & Enumeration October 05, 2005

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: 1063409852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2005
Last Update: March 27, 2018
Sole Proprietor: No

Mailing Address

8700 Durand Ave Ste 600

Sturtevant, WI 531772096

Phone: 2626355520

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.