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

Dr. Nicholas Shockman, PSYD

Individual provider Counselor · NPI 1336417716

Dr. Nicholas Shockman, PSYD is a Clinical Psychologist in Kennewick, Washington. Qualified in 2009, 17 years ago. Practices with Clinical Psychology Services PC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2011
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

3311 W Clearwater Ave Ste C-200D
Kennewick, WA 99336-2710
Phone: (509) 491-8191
Fax: (509) 396-7556
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 60315203 (WA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1336417716
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedDecember 13, 2011
Last updated in NPPESMay 8, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Clinical Psychology Services Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kennewick