Individual
DR. JOHN ARTHUR NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
113 BELMONT ST, BELMONT, MA 02478-3603
(617) 484-1042
Mailing address
4 RUMFORD RD, LEXINGTON, MA 02420-2209
(617) 484-1042
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4101
MA
103TC0700X
Clinical Psychologist
Primary
4101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169987000
MAGELLAN HEALTH
MA
01
—
712923
TUFTS HEALTH PLAN
MA
01
—
W04075
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
11/15/2006
Last updated
03/30/2010
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