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

Dr. Kathleen Anne Nickerson, PHD

Individual provider Clinical Psychologist · NPI 1639219694

Dr. Kathleen Anne Nickerson, PHD is a Clinical Psychologist in Newport Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

280 Newport Center Dr Ste 200
Newport Beach, CA 92660-7526
Phone: (949) 222-6688
Fax: (949) 716-7885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY20446 (CA)

Record details

NPI number1639219694
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESApril 11, 2008

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