Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David L Nichols, PHD

Individual provider Counseling Psychologist · NPI 1063409852

David L Nichols, PHD is a Clinical Psychologist in Sturtevant, Wisconsin. Graduated from State University of New York at Buffalo School of Medicine in 1980, 46 years ago. Practices with Psychiatric Services of Racine LLP, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
46
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
WI
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

8700 Durand Ave Ste 600
Sturtevant, WI 53177-2096
Phone: (262) 635-5520
Fax: (262) 635-5530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1244 Wisconsin Ave Ste 303, Racine, WI 53403-1987 — (262) 635-5520

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 943-057 (WI)

Record details

NPI number1063409852
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESMarch 27, 2018
Mailing address8700 Durand Ave Ste 600, Sturtevant, WI 53177-2096

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Psychiatric Services Of Racine Llp — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services