Maureen Tara Nickerson, PSYD
Clinical Psychologist · Medical Lake, WA
Maureen Tara Nickerson, PSYD is a clinical psychologist with a practice address in Medical Lake, Washington, and NPI 1578130274, issued on Jun 10, 2021. Check the license (Washington PY60778414, as entered in NPPES) with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Maureen Tara Nickerson
- Credential
- PSYD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- PY60778414 WA
Self-reported in NPPES; status is on the state search - Practice location
- 850 W. Maple St., Medical Lake, WA 99022
- Phone
- (509) 565-4000
- Enumerated
- Jun 10, 2021
- Record last updated
- Jun 10, 2021 (not updated in 5 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,675 in Washington → Look up another NPI →
Also registered at 850 W. Maple St.
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lisa MathewsPsychologist1083035182
Verify Maureen Tara Nickerson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PY60778414Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Maureen Tara Nickerson among 1,675 clinical psychologist records in Washington
Maureen Tara Nickerson, PSYD is one of 1,675 clinical psychologist records with a practice address in Washington. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2021, is newer than 90% of them.
- NPI issued2021 · 90% of these records are older, 7% newer
- In a Medicare fileNo · 13% of these records are
- In the CMS Doctors and Clinicians fileNo · 23% of these records are
- Record last updated2021 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 clinical psychologist records list a practice address in Medical Lake
They are 8 of the 147 NPPES records with a practice address in Medical Lake, and 1,675 clinical psychologist records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,675 in Washington → Every provider in Medical Lake → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Ciera Botzheim, PSYDMedical Lake, WA 990221255754594
- Kimberly Cole, PSY. D.Medical Lake, WA 990221326211731
- David Elkins, PHDMedical Lake, WA 990221215250741
- Patricia Gunderson, PHDMedical Lake, WA 990221053393652
- Gretchen Meader, PHDMedical Lake, WA 990221104938414
- Ashley Ramsdale, PSYDMedical Lake, WA 990221659128783
- Christina Zampich, PSYDMedical Lake, WA 990221043345465
- Catherine Brown, PHDLiberty Lake, WA 990191811414402
Common questions
What is Maureen Tara Nickerson, PSYD's NPI number?
Maureen Tara Nickerson, PSYD's National Provider Identifier (NPI) is 1578130274, issued on Jun 10, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Maureen Tara Nickerson, PSYD located?
The NPPES record lists a practice address at 850 W. Maple St., Medical Lake, WA, 99022. Phone: (509) 565-4000. Providers update this record themselves, so call before visiting.
How can I verify Maureen Tara Nickerson, PSYD's license?
NPPES lists Washington license number PY60778414, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.