Timothy Nichols, PSYCHOLOGIST MS
NPI 1477045433 · Psychologist · Scott Depot, WV
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Nichols, PSYCHOLOGIST MS is a Psychologist provider in Scott Depot, WV (NPI 1477045433).
Provider details
- NPI number
- 1477045433
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYCHOLOGIST MS
- Sex
- Male
- Sole proprietor
- No
- License
- 1356 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Additional practice locations (1)
- 103 Brookside DrScott Depot, WV 25560-9736Phone: (304) 272-5517Fax: (304) 272-5520
Registry dates
- Enumerated
- 2018-06-05
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Timothy Nichols's NPI number?
- Timothy Nichols's National Provider Identifier (NPI) is 1477045433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Nichols's specialty?
- Timothy Nichols is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Timothy Nichols located?
- Timothy Nichols's practice location on file with NPPES is 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816.
- What is Timothy Nichols's phone number?
- The practice phone number listed in the NPPES registry for Timothy Nichols is (304) 757-6999.
- Does Timothy Nichols accept Medicare?
- Timothy Nichols is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Nichols's NPI active?
- Yes — Timothy Nichols's NPI (1477045433) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.