Steven Niel Nickolaisen, PHD, MA
NPI 1841857315ActiveIndividual· Psychologist, Counseling· Salt Lake City, UT
Psychologist, Counseling (PHD, MA) with South Davis Psychological Services, practicing in Salt Lake City, Utah. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1841857315 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, MA |
| Sole proprietor | Yes |
| NPI issued | May 21, 2019 |
| Last updated in NPPES | May 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 8152100-2501 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (UT) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- South Davis Psychological ServicesCenterville, UT · 17 clinicians
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