DR. TIFFANY ALISHA NICKIE-HULL (PSY.D., LMHC) – Clinical Neuropsychologist, NPI 1457503534
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,139 CLINICAL PSYCHOLOGIST in OH
Provider Addresses for DR. TIFFANY ALISHA NICKIE-HULL (PSY.D., LMHC)
3725 TILLMAN ST NW
MASSILLON, OH 446463227
Phone: (216) 570-1741
Type: Mailing
PO BOX 1595
MIDDLETOWN, CT 064578095
Phone: (860) 788-6404
Type: Mailing
1160 DUBLIN RD STE 400
COLUMBUS, OH 432151052
Phone: (860) 788-6404
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.
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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: 2025-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161220001150 | I | Clinical Psychologist | OH | TBD |
| I20181017000140 | I | Clinical Psychologist | IA | TBD |
| I20211101000612 | I | Clinical Psychologist | RI | TBD |
| I20230731002951 | I | Clinical Psychologist | VA | TBD |
| I20250415000763 | I | Clinical Psychologist | WV | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 700 | 162 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 142 | 141 | $0 |
| 90834 | Psychotherapy, 45 minutes | 99 | 36 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 45 | 15 | $0 |
| Q3014 | Telehealth originating site facility fee | 26 | 17 | $0 |
Insurance plans in this area (ZIP 44646)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | VA | |
| Nurse Practitioner | MO | |
| - | MO |
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