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

Shana Nichols, PHD

Individual provider Psychologist · NPI 1073605614

Shana Nichols, PHD is a Psychologist in Melville, New York. Practices as a sole proprietor. Licensed in Colorado, Iowa, Missouri and New York.

Licensed in
CO, IA, MO, NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

63 Old East Neck Rd
Melville, NY 11747-2806
Phone: (631) 923-0923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 016634 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2951 (CO)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2011000658 (MO)
Clinical Psychologist Taxonomy 103TC0700X · Licence 001285 (IA)

Record details

NPI number1073605614
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 29, 2006
Last updated in NPPESApril 20, 2015

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