Provider Demographics
NPI:1396818084
Name:NICHOLS, MARGARET CHESKIN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:CHESKIN
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-3603
Mailing Address - Country:US
Mailing Address - Phone:617-484-1042
Mailing Address - Fax:
Practice Address - Street 1:113 BELMONT ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-3603
Practice Address - Country:US
Practice Address - Phone:617-484-1042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4102103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW04031OtherBLUE CROSS
MAW04031Medicare ID - Type Unspecified