Dr Steven Niel Nickolaisen, PHD, MA in Salt Lake City, UT - Medicare Clinical Psychologist Provider

Dr Steven Niel Nickolaisen, PHD, MA is a medicare enrolled "Psychologist - Counseling" provider in Salt Lake City, Utah. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice South Davis Psychological Services and his current practice location is 1208 E 3300 S, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 483-1600.

Dr Steven Niel Nickolaisen is licensed to practice in Utah (license number 8152100-2501) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841857315.

Contact Information

	Dr Steven Niel Nickolaisen, PHD, MA
	1208 E 3300 S, Salt Lake City, UT 84106-2522
	(801) 483-1600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Steven Niel Nickolaisen
Gender	Male
Speciality	Clinical Psychologist
Experience	7 Years
Location	1208 E 3300 S, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Steven Niel Nickolaisen graduated from medical school in 2017

NPI Data:

NPI Number: 1841857315
Provider Enumeration Date: 05/21/2019
Last Update Date: 05/21/2019

Medicare PECOS Information:

PECOS PAC ID: 7214367648
Enrollment ID: I20200424002631

Medical Identifiers

Medical identifiers for Dr Steven Niel Nickolaisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841857315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	8152100-2501 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Davis Psychological Services	0446511927	14

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Steven Niel Nickolaisen allows following entities to bill medicare on his behalf.

Entity Name	Comprehensive Psychological Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407878333 PECOS PAC ID: 2365345741 Enrollment ID: O20040202000251

Entity Name	South Davis Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386142396 PECOS PAC ID: 0446511927 Enrollment ID: O20180223002317

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 Steven Niel Nickolaisen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Steven Niel Nickolaisen, PHD, MA 606 S 1100 E, Salt Lake City, UT 84102-3902 Ph: () -	Dr Steven Niel Nickolaisen, PHD, MA 1208 E 3300 S, Salt Lake City, UT 84106-2522 Ph: (801) 483-1600

Reviews and Comments

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Dr Steven Niel Nickolaisen, PHD, MA - Medicare Psychologist in Salt Lake City, UT