Dr Nicholas Shockman, PSYD is a
Psychologist - Clinical based in Kennewick, Washington. Dr Nicholas Shockman is licensed to practice in Washington (license number 60315203) and his current practice location is
3311 W Clearwater Ave, Suite C-200d, Kennewick, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 491-8191.
NPI number for Dr Nicholas Shockman is 1336417716 and his current mailing address is Po Box 5054, Pasco, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336417716.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Shockman |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 3311 W Clearwater Ave, Kennewick, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336417716
- Provider Enumeration Date: 12/13/2011
- Last Update Date: 05/08/2013
Medical Identifiers
Medical identifiers for Dr Nicholas Shockman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336417716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 60315203 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Shockman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nicholas Shockman, PSYD
Po Box 5054,
Pasco, WA 99302-5054
Ph: (804) 972-6816 | Dr Nicholas Shockman, PSYD
3311 W Clearwater Ave, Suite C-200d,
Kennewick, WA 99336-2710
Ph: (509) 491-8191 |
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