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

Individual provider Psychiatry Physician · NPI 1417990748

Mark Nickels, MD is a Psychiatry in Rochester, New York. Graduated from Medical College of Wisconsin in 1982, 44 years ago. Practices with University of Rochester Department of Psychiatry Clinical Group, a 80-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
44
Trained at
Medical College of Wisconsin
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Crittenden Blvd
Rochester, NY 14642-0001
Phone: (585) 275-6733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 155328 (NY)

Record details

NPI number1417990748
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJune 29, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1982 (44 years in practice)
Group practice University Of Rochester Department Of Psychiatry Clinical Group — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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