MEDICARE: DR. NICOLE THERESE LEVEILLE PHD, PPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist		CA

General Provider Information

NPI Number	:	1275971335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLE THERESE LEVEILLE PHD, PPS

Provider Business Mailing Address
First Line	:	475 W CHURCH ST
Second Line	:
City	:	UKIAH
State	:	CA
Zip	:	95482-4817
Country	:	US
Telephone Number	:	707-362-6808
Fax Number	:

Provider Business Practice Location Address
First Line	:	511 S ORCHARD AVE
Second Line	:
City	:	UKIAH
State	:	CA
Zip	:	95482-3470
Country	:	US
Telephone Number	:	707-472-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2013
Last Update Date	:	09/17/2021

Similar Medicare Providers

1568318616 — PERLA CORRAL LOPEZ
Practice Location Address:

511 S ORCHARD AVE
UKIAH, CA
95482-3470

Practice Phone: 707-472-5000
Practice Fax:

1619823036 — VIVID MED SPA, PROFESSIONAL CORPORATION
Practice Location Address:

166 E GOBBI ST
UKIAH, CA
95482-4918

Practice Phone: 707-414-0419
Practice Fax:

1659578383 — MICHAEL VAN DYKE PA-C
Practice Location Address:

275 HOSPITAL DR
UKIAH, CA
95482-4531

Practice Phone: 707-462-7900
Practice Fax: 707-462-7947

1053984005 — TRENTON RAMOS
Practice Location Address:

800 N STATE ST
UKIAH, CA
95482-3410

Practice Phone: 707-467-2010
Practice Fax:

1497397178 — KARL WAYNE-ERIC WEAVER AMFT
Practice Location Address:

631 S ORCHARD AVE
UKIAH, CA
95482-5011

Practice Phone: 707-467-2010
Practice Fax:

1114920733 — DR. RONALD SEAN BATIN M.D.
Practice Location Address:

232 HOSPITAL DR STE A
UKIAH, CA
95482

Practice Phone: 707-467-3189
Practice Fax:

Directions to “ DR. NICOLE THERESE LEVEILLE PHD, PPS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.