DR. JOSEPH REESE NICOLINI (D.O., PH.D.) – Clinical Psychologist, NPI 1013915628

DR. JOSEPH REESE NICOLINI (D.O., PH.D.) is a healthcare provider. based in San diego, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O., PH.D.. They hold a License No. 071-005945 (IL). The NPI Number for DR. JOSEPH REESE NICOLINI (D.O., PH.D.) is 1013915628

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH REESE NICOLINI (D.O., PH.D.)
NPI
1013915628
Phone
Not provided
Address
402 W BROADWAY
Enumeration Date
8 July 2005
Last Update Date
4 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8584871800
Graduation Year
2003 (23 years ago)
PAC ID
6800049248
Group Practice PAC ID
9234033853
Professional Enrollment ID
I20130114000395
Address ID
CA921283498SA15004DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

4,051 EMERGENCY MEDICINE in TX

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Provider Addresses for DR. JOSEPH REESE NICOLINI (D.O., PH.D.)

  • 402, West Broadway, Columbia, Banker's Hill, San Diego, San Diego County, California, 92101, United States

    FOURTH FLOOR

    SAN DIEGO, CA 921013542

    Phone:

    Type: Mailing

  • CHRISTUS Spohn Hospital Alice, 2500, East Main Street, Alice, Jim Wells County, Texas, 78332, United States

    CHRISTUS SPOHN HOSPITAL

    ALICE, TX 78332

    Phone: (361) 661-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130114000395IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234033853View full group profile
NameSpecialtyState
N E U R O L O G YCA
-CA
Family PracticeCA
-CA
Internal MedicineCA
Emergency MedicineCA
Physician AssistantCA
-CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
-CA

Reviews

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Frequently asked questions

Does DR. JOSEPH REESE NICOLINI (D.O., PH.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOSEPH REESE NICOLINI (D.O., PH.D.) uses 1013915628.
Does the file indicate DR. JOSEPH REESE NICOLINI (D.O., PH.D.) is practicing under active NPI?
Directory data currently reports DR. JOSEPH REESE NICOLINI (D.O., PH.D.) as active.
What is DR. JOSEPH REESE NICOLINI (D.O., PH.D.)'s primary classification?
Clinical Psychologist is the headline specialty for DR. JOSEPH REESE NICOLINI (D.O., PH.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOSEPH REESE NICOLINI (D.O., PH.D.)?
DR. JOSEPH REESE NICOLINI (D.O., PH.D.)'s geographic hint is San Diego, California in our summary view.
Is the information about DR. JOSEPH REESE NICOLINI (D.O., PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."