Dr Nicole Teresa Riddle, PSYD - Psychologist in Santa Monica, CA

Dr Nicole Teresa Riddle, PSYD is a Psychologist - Clinical based in Santa Monica, California. Dr Nicole Teresa Riddle is licensed to practice in California (license number PSY23942) and her current practice location is 2116 Wilshire Blvd Ste 104, Santa Monica, California. She can be reached at her office (for appointments etc.) via phone at (323) 336-1694.

NPI number for Dr Nicole Teresa Riddle is 1679774509 and her current mailing address is 6103 Acacia St, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679774509.

Contact Information

Dr Nicole Teresa Riddle, PSYD
2116 Wilshire Blvd Ste 104,
Santa Monica, CA 90403
(323) 336-1694
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicole Teresa Riddle
GenderFemale
SpecialityPsychologist - Clinical
Location2116 Wilshire Blvd Ste 104, Santa Monica, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679774509
  • Provider Enumeration Date: 05/29/2007
  • Last Update Date: 07/31/2018

Medical Identifiers

Medical identifiers for Dr Nicole Teresa Riddle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679774509NPI-NPPES
11380OtherCAMEDICAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY23942 (California)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 Nicole Teresa Riddle 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 AddressPractice Location Address
Dr Nicole Teresa Riddle, PSYD
6103 Acacia St,
Los Angeles, CA 90056-1720

Ph: (323) 336-1694
Dr Nicole Teresa Riddle, PSYD
2116 Wilshire Blvd Ste 104,
Santa Monica, CA 90403

Ph: (323) 336-1694

Reviews and Comments


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