IndividualActive
Anastacia Nichols, PSYD
NPI 1174185763 · Clinical Psychologist · Atlanta, GA
Provider details
- NPI number
- 1174185763
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- PSY004308 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 Executive Park Dr Ne
Atlanta, GA 30329-2206
Phone: (404) 712-5667
Street-level locationGet directions
Mailing address
1441 Clifton Rd Ne Ste 170
Atlanta, GA 30322-1004
Additional practice locations (1)
- 1441 Clifton Rd NeAtlanta, GA 30322-1004Phone: (404) 712-5667
Registry dates
- Enumerated
- 2019-07-03
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.