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

Dr. Kelly L Nicholson, PSYD

Individual provider Clinical Psychologist · NPI 1043424807

Dr. Kelly L Nicholson, PSYD is a Clinical Psychologist in Castle Rock, Colorado. Qualified in 2006, 20 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Colorado and South Carolina.

Years since qualifying
20
Licensed in
CO, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1605 Moonstone Ln
Castle Rock, CO 80108-7809
Phone: (720) 588-6772
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1340 (SC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3154 (CO)

Record details

NPI number1043424807
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 21, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Castle Rock