What is Nicole Suprovici's NPI number?

Nicole Suprovici's National Provider Identifier (NPI) is 1689715120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicole Suprovici's specialty?

Nicole Suprovici is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).

Where is Nicole Suprovici located?

Nicole Suprovici's practice location on file with NPPES is 1 Main St, San Quentin, CA 94964-1000.

What is Nicole Suprovici's phone number?

The practice phone number listed in the NPPES registry for Nicole Suprovici is (415) 454-1460.

Is Nicole Suprovici's NPI active?

Yes — Nicole Suprovici's NPI (1689715120) is active in the NPPES registry as of the last update on 2016-02-09.

IndividualActive

Nicole Suprovici, MD

NPI 1689715120 · Psychiatry Physician · San Quentin, CA

Nicole Suprovici, MD is a Psychiatry Physician provider in San Quentin, CA (NPI 1689715120).

Provider details

NPI number: 1689715120
Entity type: Individual
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: NONE (CA)

Specialties & taxonomies

Psychiatry PhysicianPrimary2084P0800XLicense NONE (CA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

1 Main St

San Quentin, CA 94964-1000

Phone: (415) 454-1460

Approximate (ZIP-level) locationGet directions

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Mailing address