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

Nicole Caugherty Han

Individual provider Clinical Neuropsychologist · NPI 1801359872

Nicole Caugherty Han is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3292 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 365-8920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 933-1000

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301019400 (MI)

Record details

NPI number1801359872
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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