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

Timothy Robert Nichols, PSYCHOLOGISTMS

Individual provider Psychologist · NPI 1477045433

Timothy Robert Nichols, PSYCHOLOGISTMS is a Clinical Psychologist in Scott Depot, West Virginia. Qualified in 1989, 37 years ago. Practices with Womencare Inc, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
37
Licensed in
WV
In the registry since
2018

Practice location Address checks out

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone: (304) 757-6999
Fax: (304) 757-6999
Show map & directions

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

Additional practice locations (1)

  • 103 Brookside Dr, Scott Depot, WV 25560-9736 — (304) 272-5517

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1356 (WV)

Record details

NPI number1477045433
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYCHOLOGISTMS
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Womencare Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Scott Depot