NICHOLE M SLICK – Counselor, NPI 1033728704

NICHOLE M SLICK is a healthcare provider. based in Stow, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 20043904B (IN). The NPI Number for NICHOLE M SLICK is 1033728704

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLE M SLICK
NPI
1033728704
Phone
(317) 413-4363
Address
3976 WYNDHAM RIDGE DR APT 206
Enumeration Date
28 July 2020
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884843258
Graduation Year
2024 (2 years ago)
PAC ID
1557858636
Group Practice PAC ID
9638669815
Professional Enrollment ID
I20251013003890
Address ID
IN462025109IN705XXDRXX400

Contacts

Main Contact
slickn@bellefairjcb.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for NICHOLE M SLICK

  • 3976 WYNDHAM RIDGE DR APT 206

    STOW, OH 442246180

    Phone: (317) 413-4363

    Type: Mailing

  • 22001 FAIRMOUNT BLVD

    CLEVELAND, OH 441184819

    Phone: (216) 932-2800

    Type: Location

  • PO BOX 778912

    CHICAGO, IL 606778912

    Phone: (317) 777-6435

    Fax: (317) 777-6644

    Type: Mailing

  • 705 RILEY HOSPITAL DR

    INDIANAPOLIS, IN 462025109

    Phone: (317) 944-2143

    Fax: (317) 944-3107

    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: 2025-10-13

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
I20251013003890IClinical PsychologistINTBD

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 44224)

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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: 9638669815View full group profile
NameSpecialtyState
Infectious Disease, Pediatric MedicineIL
Cardiovascular Disease (Cardiology), Pediatric Medicine, Pediatric MedicineIL
Endocrinology, Pediatric MedicineIN
Critical Care (Intensivists), Pediatric MedicineIN
Infectious Disease, Pediatric MedicineIN
Nephrology, Pediatric MedicineIL
Cardiovascular Disease (Cardiology), Pediatric MedicineIN
Critical Care (Intensivists), Pediatric MedicineOH
Infectious Disease, Pediatric MedicineIN
Pediatric Medicine, Internal MedicineIN

Reviews

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Frequently asked questions

How do I look up NICHOLE M SLICK by NPI?
Use NPI 1033728704 when you need to reference NICHOLE M SLICK in forms, claims, or directories.
Is NICHOLE M SLICK's NPI currently valid?
The extract we use shows NICHOLE M SLICK as active.
Does NICHOLE M SLICK list a primary specialty?
If you are matching referrals, note Counselor for NICHOLE M SLICK. Clinical services aligned with this taxonomy classification.
Where does public data place NICHOLE M SLICK?
The snapshot lists Stow, Ohio for NICHOLE M SLICK; download NPPES for the complete set.
What if Stow, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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