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

Dr. Jill Corine Nicolino, PSYD

Individual provider Clinical Psychologist · NPI 1528212669

Dr. Jill Corine Nicolino, PSYD is a Clinical Psychologist in Saint Augustine, Florida. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
16
Licensed in
FL, NC
In the registry since
2008
Specialties on file
2
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

4475 US 1 S Ste 609
Saint Augustine, FL 32086-7284
Phone: (828) 242-9553
Fax: (904) 342-5467
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 8278 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3990 (NC)

Record details

NPI number1528212669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedNovember 14, 2008
Last updated in NPPESApril 25, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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