| Tracie A Nicoll Phd | |
|
245 E Cheyenne Mountain Blvd Colorado Springs CO 80906-3719 | |
| (719) 232-5223 | |
| (719) 362-4439 |
| Full Name | Tracie A Nicoll Phd |
|---|---|
| Speciality | Clinic/Center |
| Location | 245 E Cheyenne Mountain Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Tracie A Nicoll (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7192325223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie A Nicoll Phd 245 E Cheyenne Mountain Blvd Colorado Springs CO 80906-3719 Ph: (719) 232-5223 | Tracie A Nicoll Phd 245 E Cheyenne Mountain Blvd Colorado Springs CO 80906-3719 Ph: (719) 232-5223 |
| NPI Number | 1194331215 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Certification Date | 09/23/2020 |
| Medicare PECOS PAC ID | 4284044629 |
|---|---|
| Medicare Enrollment ID | O20201113000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194331215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tracie A Nicoll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558844225 PECOS PAC ID: 7911250782 Enrollment ID: I20181024001235 |
Beyond Beautiful, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 N Tejon Ave # 7, Colorado Springs, CO 80903 Phone: 719-598-7800 Fax: 719-204-3829 | |
New Solutions Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13879 Single Leaf Ct, Colorado Springs, CO 80921 Phone: 719-231-0527 | |
Peak Interventions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 N Arcadia St, Colorado Springs, CO 80903 Phone: 720-384-5312 | |
Btti Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Willamette Pl, Colorado Springs, CO 80909 Phone: 719-442-0144 | |
Restorative Place Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd Ste 206, Colorado Springs, CO 80917 Phone: 719-259-3834 | |
Lentz Psychological Services, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5855 Lehman Dr Ste 202, Colorado Springs, CO 80918 Phone: 719-551-9911 Fax: 719-596-9636 | |
Lifestance Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9475 Briar Village Pt Ste 320, Colorado Springs, CO 80920 Phone: 970-310-3406 Fax: 888-965-4615 |