DR. MICHAEL A NICHOLAS PHD
NPI 1467471565
Clinical Neuropsychologist in Paducah, KY
NPI Status: Active since July 19, 2006
Contact Information
100 FOUNTAIN AVE
SUITE 220
PADUCAH, KY
ZIP 42001
Phone: (270) 408-4192
Fax: (270) 443-1784
- Individual
- Male
- Clinical Neuropsychologist
- PECOS Enrolled
About MICHAEL NICHOLAS
This page provides the complete NPI Profile along with additional information for Michael Nicholas, a provider established in Paducah, Kentucky with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1467471565 assigned on July 2006. The practitioner's primary taxonomy code is 103G00000X with license number 850 (KY). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1467471565
- Provider Name
- DR. MICHAEL A NICHOLAS PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 FOUNTAIN AVE SUITE 220 PADUCAH, KY 42001
- Location Phone
- (270) 408-4192
- Location Fax
- (270) 443-1784
- Mailing Address
- PO BOX 7223 PADUCAH, KY 42002
- Mailing Phone
- (270) 408-4192
- Mailing Fax
- (270) 443-1784
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-19-2006
- Last Update Date
- 06-05-2008
- 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
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 850
- License State
- KY
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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.
*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 |
|---|---|---|---|
| 00612001 | MEDICARE PIN (08) | KY |
Medicare Participation & PECOS Enrollment Status
Michael Nicholas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. MICHAEL A NICHOLAS PHD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 4 | 7 | 1 | 5 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 8 | 7 | 2 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 8 + 7 + 2 + 5 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1467471565 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811957459 | DR. DAVID ANDREW MEYER MD Individual | Psychiatry & Neurology (Psychiatry) | 100 FOUNTAIN AVE SUITE # 301 PADUCAH, KY 42001 (270) 443-8195 |
| 1528075330 | GARY H. WHITELOCK DMD Individual | Dentist (General Practice) | 100 FOUNTAIN AVE PADUCAH, KY 42001 (270) 444-6453 |
| 1982764445 | DR. EDWARD ANTHONY JONES ED.D., CCMHC, LMFT Individual | Marriage & Family Therapist | 100 FOUNTAIN AVE CENTURY BUILDING -- SUITE 105 PADUCAH, KY 42001 (270) 444-0411 |
| 1558419978 | PADUCAH PSYCHIATRY GROUP PSC Organization | Psychiatry & Neurology (Psychiatry) | 100 FOUNTAIN AVE SUITE 301 PADUCAH, KY 42001 (270) 443-8195 |
| 1700916913 | DR. WALTER MICHAEL MYRICK DMD Individual | Dentist (General Practice) | 100 FOUNTAIN AVE SUITE 400 PADUCAH, KY 42001 (270) 443-6490 |
| 1932378270 | MICHAEL A. NICHOLAS PHD PLLC Organization | Clinical Neuropsychologist | 100 FOUNTAIN AVE SUITE 220 PADUCAH, KY 42001 (270) 408-4192 |
| 1639499668 | MS. LORI DEMPSEY NICHOLAS LCSW Individual | Social Worker (Clinical) | 100 FOUNTAIN AVE SUITE 220 PADUCAH, KY 42001 (270) 408-4192 |
| 1467841452 | GENCARE, INC Organization | In Home Supportive Care | 100 FOUNTAIN AVE SUITE 419-A PADUCAH, KY 42001 (270) 575-0728 |
| 1184827446 | DR DANIEL BOEH DMD PSC Organization | Dentist | 100 FOUNTAIN AVE SUITE #314 PADUCAH, KY 42001 (270) 444-6032 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467471565, enumerated in the NPI registry as an "individual" on July 19, 2006
The provider is located at 100 Fountain Ave Suite 220 Paducah, Ky 42001 and the phone number is (270) 408-4192
The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
This NPI record was last updated on July 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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