Active NPIIndividual providerSole proprietor

Dr. Steven L Nickman, MD

Psychiatry & Neurology, Psychiatry in Chestnut Hill, Massachusetts

NPI Number1104881432
Practice location
26 Holly Ln Apt 2B, Chestnut Hill, MA 02467-2155
Fax
617-739-8286
Last updated
October 14, 2022

Steven Louis Nickman is a Psychiatry & Neurology, Psychiatry based in Chestnut Hill, MA. Steven Louis Nickman practices in Chestnut Hill, MA and has the professional credentials of MD. The NPI Number for Steven Louis Nickman is 1104881432 and holds a License No. 32763 (MA). The current practice location address for Steven Louis Nickman is 26 Holly Ln Apt 2B, Chestnut Hill, MA 02467-2155 and can be reached out via phone at 617-734-3016 and via fax at 617-739-8286.

Provider Profile Details

NPI Number
1104881432
Provider Name
Steven Louis Nickman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
26 Holly Ln Apt 2B, Chestnut Hill, MA 02467-2155
Phone Number
617-734-3016
Fax Number
617-739-8286
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
April 19, 2006
Last Update Date
October 14, 2022
Certification Date
October 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Holly Ln Apt 2B
Chestnut Hill, MA 02467-2155
Zip
02467-2155
Phone Number
617-734-3016
Fax Number
617-739-8286
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
26 Holly Ln Apt 2B
Chestnut Hill, MA 02467-2155
City
Chestnut Hill
State
MA
Zip
02467-2155
Phone Number
617-734-3016
Fax Number
617-739-8286

License Information

License Number (1)
32763
License State (1)
MA
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
32763
License State (2)
MA
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Steven L Nickman, MD?

The NPI number of Dr. Steven L Nickman, MD is 1104881432. It was assigned on April 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Steven L Nickman, MD?

Dr. Steven L Nickman, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 32763.

Where does Dr. Steven L Nickman, MD practice?

The practice location is 26 Holly Ln Apt 2B, Chestnut Hill, MA 02467-2155. The office can be reached at 617-734-3016 (phone) or 617-739-8286 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104881432 directly on the NPPES registry website.

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