Nicole Sally Lightman, PHD
NPI 1164735551ActiveIndividual· Psychologist, Clinical Child & Adolescent· Newport Beach, CA
Psychologist, Clinical Child & Adolescent (PHD) with Allied Psychological Services PC, practicing in Newport Beach, California. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1164735551 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Jul 14, 2010 |
| Last updated in NPPES | Aug 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Child & Adolescent Primary | 103TC2200X | PSY28608 | CA |
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 (CA) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Allied Psychological Services PCNewport Beach, CA · 5 clinicians
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