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Dr. Nicole Surething , PhD

Psychologist β€’ Williamsburg, VA

Active NPI 1902200389 Individual Practitioner Female Practitioner
Practice location in NPPES

1158 Professional Dr Ste N
Williamsburg, VA 231856618

Call 5406930398 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1158 Professional Dr Ste N

Williamsburg, VA 231856618

Telephone 5406930398
Fax 8443866313
Organization at the Same NPPES Address or Phone
Wellness Therapy Services, Llc Facility NPI 1306296819

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Surething as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Williamsburg and Virginia

5 active clinicians are listed under Psychologist with a practice address in Williamsburg, VA (493 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-28
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES VA 0810004081

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Business Mailing Address June 28, 2023

Registered at 3997 CEDARWOOD LN, WILLIAMSBURG, VA 231888007 (Tel: 5406930398)

πŸ“
Updated Practice Location July 21, 2022

Registered at 1158 PROFESSIONAL DR STE N, WILLIAMSBURG, VA 231856618 (Tel: 5406930398)

πŸ“
Updated Business Mailing Address July 21, 2022

Registered at 3808 SUMMIT LOOP, WILLIAMSBURG, VA 231882773 (Tel: 5406930398)

πŸ“
Updated Practice Location May 18, 2018

Registered at 2217 PRINCESS ANNE ST STE 328, FREDERICKSBURG, VA 22401 (Tel: (540) 693-0398)

βœ…
NPI Profile Active July 25, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address July 25, 2017

Registered at 2217 PRINCESS ANNE ST, STE 328, FREDERICKSBURG, VA 224013353 (Tel: 5406930398)

πŸ“
Updated Practice Location July 25, 2017

Registered at 4304 GERMANNA HWY, LOCUST GROVE, VA 22508 (Tel: 5406930398)

πŸ‘€
Provider Name / Credentials Updated July 25, 2017

Recorded as NICOLE SURETHING, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2017

Psychologist (license number reported to NPPES: VA 0810004081)

πŸ“
Updated Business Mailing Address June 20, 2017

Registered at 4304 GERMANNA HWY, LOCUST GROVE, VA 225082008 (Tel: 5406930398)

βœ…
NPI Profile Active June 09, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2016

Registered at 4304 GERMANNA HWY, LOCUST GROVE, VA 22508 (Tel: 5406930398)

πŸ“
Business Mailing Address (Initial Record) June 09, 2016

Registered at PO BOX 42215, FREDERICKSBURG, VA 224042215 (Tel: 5406930398)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2016

Recorded as NICOLE SURETHING, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2016

Psychologist (license number reported to NPPES: VA 0810004081)

🟒
Initial NPI Registration & Enumeration October 14, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902200389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2014
Last Update: June 28, 2023
Sole Proprietor: Yes

Mailing Address

3997 Cedarwood Ln

Williamsburg, VA 231888007

Phone: 5406930398

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.