DR. DANIEL BRIAN NICHOLAS (PSYD) – Clinical Psychologist, NPI 1568544740

DR. DANIEL BRIAN NICHOLAS (PSYD) is a healthcare provider. based in Tinley park, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. The NPI Number for DR. DANIEL BRIAN NICHOLAS (PSYD) is 1568544740

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL BRIAN NICHOLAS (PSYD)
NPI
1568544740
Phone
(708) 342-1773
Address
17732 OAK PARK AVE
Enumeration Date
19 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083421773
Graduation Year
1989 (37 years ago)
PAC ID
0749477826
Group Practice PAC ID
9830386911
Professional Enrollment ID
I20101215000777
Address ID
IL604773934TI17732AVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. DANIEL BRIAN NICHOLAS (PSYD)

  • 17732, Oak Park Avenue, Tinley Park, Bremen Township, Cook County, Illinois, 60477, United States

    TINLEY PARK, IL 60477

    Phone: (708) 342-1773

    Fax: (708) 342-1780

    Mailing address matches the actual address.

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: 2010-12-15

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
I20101215000777IClinical PsychologistILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes19514$0
View full utilization report →

Insurance plans in this area (ZIP 60477)

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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: 9830386911View full group profile
NameSpecialtyState
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. DANIEL BRIAN NICHOLAS (PSYD)?
NPI 1568544740 is assigned to DR. DANIEL BRIAN NICHOLAS (PSYD) under the national enumeration system.
Is DR. DANIEL BRIAN NICHOLAS (PSYD) currently active in the NPI registry?
CMS-published data lists DR. DANIEL BRIAN NICHOLAS (PSYD) as an active registrant.
Can you summarize DR. DANIEL BRIAN NICHOLAS (PSYD)'s specialty in plain language?
Clinically, the directory lists DR. DANIEL BRIAN NICHOLAS (PSYD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. DANIEL BRIAN NICHOLAS (PSYD)?
We surface Tinley Park, Illinois for DR. DANIEL BRIAN NICHOLAS (PSYD) based on available NPPES addresses.
How can I contact DR. DANIEL BRIAN NICHOLAS (PSYD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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