SHELLEY BLANCETT NICHOLS (PH.D.) – Clinical Psychologist, NPI 1063835346

Clinical Psychologist

SHELLEY BLANCETT NICHOLS (PH.D.) is a healthcare provider. based in Midland, Texas. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. 19072 (TX). The NPI Number for SHELLEY BLANCETT NICHOLS (PH.D.) is 1063835346

Main info

Female

Sole Proprietor

13 Years Of Experience

Accepts Medicare Assignment

Name

SHELLEY BLANCETT NICHOLS (PH.D.)

NPI

1063835346

Phone

(432) 247-1221

Address

1030 ANDREWS HWY

Enumeration Date

22 January 2014

Last Update Date

6 July 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7182984375

Graduation Year

2013 (13 years ago)

PAC ID

5496988354

Group Practice PAC ID

7719126655

Professional Enrollment ID

I20140429001688

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience57

Completeness75

Years active:12State licenses:2Digital endpointsOther names

Provider Addresses for SHELLEY BLANCETT NICHOLS (PH.D.)

1030 ANDREWS HWY
STE 105-H
MIDLAND, TX 79701
Phone: (432) 247-1221
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 79701)

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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: 7719126655View full group profile

Name	Specialty	State
KATE IRENE O'DONNELL (LMSW)	Clinical Social Worker	TX
GLORIA PULICKAL SAMUEL (LMFT-ASSOCIATE)	Marriage And Family Therapist	TX
SARA LEE DUMAS (PH.D.)	-	TX
JAMIE MCKINNEY (LMSW)	-	TX
DENEISA STARLENE MCKASKLE (LPC)	Mental Health Counselor	TX
FRANK QUINONES (LCSW)	-	TX
JACQUELINE NOEL (LPC)	Mental Health Counselor	TX
CAROLYN PRESNALL (LCSW)	-	TX
ASHLEI THOMAS	-	TX
Unknown Individual	-	TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHELLEY BLANCETT NICHOLS (PH.D.)?

SHELLEY BLANCETT NICHOLS (PH.D.) — NPI 1063835346 — is the standard way to identify this listing.

Does the file indicate SHELLEY BLANCETT NICHOLS (PH.D.) is practicing under active NPI?

Directory data currently reports SHELLEY BLANCETT NICHOLS (PH.D.) as active.

What taxonomy line describes SHELLEY BLANCETT NICHOLS (PH.D.)?

For research purposes, treat SHELLEY BLANCETT NICHOLS (PH.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.

Does SHELLEY BLANCETT NICHOLS (PH.D.) list a practice location?

Patients near Midland, Texas may find SHELLEY BLANCETT NICHOLS (PH.D.) in results; validate coverage separately.

Why does SHELLEY BLANCETT NICHOLS (PH.D.) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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