DR. MAUREEN TARA NICKERSON (PSYD) – Clinical Psychologist, NPI 1578130274

DR. MAUREEN TARA NICKERSON (PSYD) is a healthcare provider. based in Medical lake, Washington. specializing in Clinical Psychologist. They hold the professional credentials PSYD. They hold a License No. PY60778414 (WA). The NPI Number for DR. MAUREEN TARA NICKERSON (PSYD) is 1578130274

Main info

Female
Name
DR. MAUREEN TARA NICKERSON (PSYD)
NPI
1578130274
Phone
Not provided
Address
P.O. BOX 800
Enumeration Date
10 June 2021
Last Update Date
10 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for DR. MAUREEN TARA NICKERSON (PSYD)

  • P.O. BOX 800

    850 W. MAPLE ST.

    MEDICAL LAKE, WA 99022

    Phone:

    Type: Mailing

  • 850 W. MAPLE ST.

    MEDICAL LAKE, WA 99022

    Phone: (509) 565-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 99022)

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Frequently asked questions

What is the standard ID for DR. MAUREEN TARA NICKERSON (PSYD) in the U.S.?
In the U.S., DR. MAUREEN TARA NICKERSON (PSYD) is identified by NPI 1578130274.
Does the public listing show DR. MAUREEN TARA NICKERSON (PSYD) as active?
DR. MAUREEN TARA NICKERSON (PSYD)'s NPI record reflects an active status in NPPES.
What services align with DR. MAUREEN TARA NICKERSON (PSYD)'s listing?
DR. MAUREEN TARA NICKERSON (PSYD)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MAUREEN TARA NICKERSON (PSYD)?
DR. MAUREEN TARA NICKERSON (PSYD) is associated with Medical Lake, Washington in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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