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

Dr. Nicole L Bickham, PHD

Individual provider Psychologist · NPI 1134666514

Dr. Nicole L Bickham, PHD is a Clinical Psychologist in Mequon, Wisconsin. Qualified in 2002, 24 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
24
Licensed in
WI
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1035 W Glen Oaks Ln Ste 204
Mequon, WI 53092-3395
Phone: (414) 858-8085
Show map & directions

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

Additional practice locations (1)

  • 416 George St Ste 108, De Pere, WI 54115 — (414) 858-8085

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 3577-57 (WI)

Record details

NPI number1134666514
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 24, 2017
Last updated in NPPESAugust 10, 2021
Certification dateAugust 9, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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