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

Individual provider Clinical Psychologist · NPI 1174185763

Dr. Anastacia A. Nichols, PSYD is a Clinical Psychologist in Atlanta, Georgia. Qualified in 2017, 9 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2019
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

12 Executive Park Dr NE
Atlanta, GA 30329-2206
Phone: (404) 712-5667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 — (404) 712-5667

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY004308 (GA)

Record details

NPI number1174185763
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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