Dr Tiffany Alisha Nickie-hull, PSYD, LMHC is a medicare enrolled "Clinical Neuropsychologist" provider in Massillon, Ohio. Her current practice location is
3725 Tillman St Nw, Massillon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 570-1741.
Dr Tiffany Alisha Nickie-hull is licensed to practice in Rhode Island (license number PS02013) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457503534.
Healthcare Provider's Profile
| Full Name | Dr Tiffany Alisha Nickie-hull |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3725 Tillman St Nw, Massillon, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tiffany Alisha Nickie-hull attended and graduated from in
NPI Data:
- NPI Number: 1457503534
- Provider Enumeration Date: 10/21/2008
- Last Update Date: 06/21/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Tiffany Alisha Nickie-hull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457503534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY7767 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6970 (Ohio) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PS02013 (Rhode Island) | Primary |
| 101YM0800X | Counselor - Mental Health | MH7720 (Florida) | Secondary |
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 Tiffany Alisha Nickie-hull 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 Tiffany Alisha Nickie-hull, PSYD, LMHC
3725 Tillman St Nw,
Massillon, OH 44646-3227
Ph: (216) 570-1741 | Dr Tiffany Alisha Nickie-hull, PSYD, LMHC
3725 Tillman St Nw,
Massillon, OH 44646-3227
Ph: (216) 570-1741 |
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