Individual
DR. NICOLE M BARCELOS
Active
Individual
DR. NICOLE M BARCELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
021324
NY
103G00000X
Clinical Neuropsychologist
Primary
3566
CT
103TC0700X
Clinical Psychologist
3566
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000427298001
BLUESHIELD OF NORTHEASTERN NY
NY
01
—
PRC200326293
CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN, INC.
NY
01
—
V38N41
EMPIRE BLUECROSS
NY
Enumeration date
09/14/2015
Last updated
01/07/2026
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