Nicholas Shockman, PsyD
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2011
- Practice locations
- 2
- Practice address
- 11325 Random Hills Rd Suite 360 Suite 360, Fairfax, VA 22030-0972
- Practice phone
- Call (703) 691-1326
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Clinical Psychology Services - Fairfax (Random Hills Rd)
Behavioral health practice · Fairfax, Virginia
Find Nicholas Shockman's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Nicholas Shockman is a clinical psychologist in Kennewick, Washington
Nicholas Shockman practices at Clinical Psychology Services - Fairfax (Random Hills Rd) in Fairfax, Virginia.
Nicholas Shockman's NPI, 1336417716, was assigned on December 13, 2011. Nicholas Shockman holds Washington license 60315203.
- NPI
- 1336417716NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1759515240
- NPI enumeration date
- December 13, 2011
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (703) 691-1326
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Nicholas Shockman practices in Fairfax and Kennewick
Nicholas Shockman's primary practice is Clinical Psychology Services - Fairfax (Random Hills Rd), at 11325 Random Hills Rd Suite 360 Suite 360, Fairfax, VA 22030-0972. The practice phone is (703) 691-1326. The NPI Registry lists Nicholas Shockman's practice address as 3311 W Clearwater Ave, Kennewick, WA 99336.
- Clinical Psychology Services - Fairfax (Random Hills Rd)Primary11325 Random Hills Rd Suite 360 Suite 360, Fairfax, VA 22030-0972Phone(703) 691-1326
- NPI Registry address3311 W Clearwater Ave, Kennewick, WA 99336Phone(509) 491-8191
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Nicholas Shockman is affiliated with 1 site of care and 1 medical group
Nicholas Shockman's primary practice is Clinical Psychology Services - Fairfax (Random Hills Rd) in Fairfax, Virginia. The medical group on file is Clinical Psychology Services, Inc.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Nicholas Shockman's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Nicholas Shockman practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Clinical Psychology Services - Fairfax (Random Hills Rd) | Available with a free account |
Source: Dmand AI Technology Install Data
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Nicholas Shockman is one of 530 clinical psychologists in Washington
Clinical is Nicholas Shockman's primary specialty in the NPI Registry, under taxonomy code 103TC0700X. Nicholas Shockman is licensed in Washington.
Specialties and state licenses
- Clinical psychologist, WashingtonPrimary
Clinical psychologists near Nicholas Shockman
Counts of clinical psychologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
How Nicholas Shockman takes part in Medicare
Nicholas Shockman accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Nicholas Shockman's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Nicholas Shockman
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Nicholas Shockman's NPI number?
Nicholas Shockman's NPI number is 1336417716. It was assigned on December 13, 2011, and it is active in the NPI Registry.
What does Nicholas Shockman specialize in?
Nicholas Shockman is a clinical psychologist in Kennewick, Washington. The primary specialty in the NPI Registry is Clinical Psychologist (taxonomy code 103TC0700X).
Where does Nicholas Shockman practice?
Nicholas Shockman practices at 11325 Random Hills Rd Suite 360 Suite 360, Fairfax, VA 22030-0972. Nicholas Shockman also practices at 3311 W Clearwater Ave, Kennewick, WA 99336. Nicholas Shockman's primary practice is Clinical Psychology Services - Fairfax (Random Hills Rd) in Fairfax, Virginia.
What is Nicholas Shockman's office phone number?
The practice phone on file for Nicholas Shockman is (703) 691-1326.
What is Nicholas Shockman's medical license number?
Nicholas Shockman holds Washington license 60315203, one of 2 state licenses on file.
What medical group is Nicholas Shockman part of?
Nicholas Shockman is linked to Clinical Psychology Services, Inc.
Does Nicholas Shockman accept Medicare?
Yes. CMS lists Nicholas Shockman as accepting Medicare assignment.
How long has Nicholas Shockman been practicing?
Nicholas Shockman's NPI was assigned in 2011.
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