Stephanie Nicolai, PSYD
NPI 1790065282ActiveIndividual· Psychologist, Clinical· Surprise, AZ
Psychologist, Clinical (PSYD) with Banner Physician Specialists Arizona LLC, practicing in Surprise, Arizona. Medicare paid $12,640 for services to 31 patients in 2024.
Overview
| NPI | 1790065282 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Aug 28, 2011 |
| Last updated in NPPES | Jan 15, 2021 |
| Certified by provider | Jan 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY005314 | AZ |
| Psychologist, Clinical | 103TC0700X | PSY29146 | 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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 159 across 5 procedure codes |
| Paid by Medicare | $12,640 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Banner Physician Specialists Arizona LLCChandler, AZ · 373 clinicians
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