David L. Nichols, PHD
NPI 1063409852ActiveIndividual· Psychologist, Counseling· Sturtevant, WI
Psychologist, Counseling (PHD) in Sturtevant, Wisconsin, trained at State University of New York at Buffalo School of Medicine (class of 1980). Medicare paid $23,694 for services to 29 patients in 2024.
Overview
| NPI | 1063409852 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Oct 5, 2005 |
| Last updated in NPPES | Mar 27, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 943-057 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 327 across 2 procedure codes |
| Paid by Medicare | $23,694 |
Education and affiliations
| Medical school | State University of New York at Buffalo School of Medicine |
|---|---|
| Graduation year | 1980 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Psychiatric Services of Racine LLPSturtevant, WI · 4 clinicians