DR. NANCY JO PATRICK (NPI# 1174007462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174007462 |
| Entity Type | Individual |
| Full Name | DR. NANCY JO PATRICK |
| Credential | PH.D. |
| Practice Address |
6230 Old Jonestown Rd Ste A Harrisburg PA 17112-6257 |
| Mailing Address |
134 Stirrup Ln Harrisburg PA 17112-8876 |
| Practice Telephone | 7179712936 |
| Mailing Telephone | 7174979846 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PS007781L | PA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PS007781L | PA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PS007781L | PA | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
PS007781L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902922008 | Nancy Patrick | Counselor | 14 Sycamore Way, Branford, CT 06405-6551 | 2007-03-21 |
| 1235216516 | Nancy Elizabeth Patrick | Physical Therapist | 9101 Midlothian Tpke, Suite 200, Richmond, VA 23235-5022 | 2006-11-01 |
| Street Address |
6230 OLD JONESTOWN RD STE A |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245409705 | Linda K Sims | Psychologist | 12 Dogwood Pl, Harrisburg, IL 62946-3034 | 2008-02-28 |
| 1871043406 | Robyn Raszkowski | Psychologist | 200 Willow Street, Harrisburg, SD 57032 | 2016-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177507 | Meredith Petruccelli | Psychologist | 2 Station Way Rd Ste 2, Chadds Ford, PA 19317-9782 | 2020-09-08 |
| 1013520477 | Colleen Bell | Psychologist | 3085 Church Street, Springtown, PA 18081 | 2020-08-26 |
| 1679184683 | Reginald Candio | Psychologist | 117 W Gay St Ste 210, West Chester, PA 19380-2938 | 2020-08-12 |
| 1639788292 | Marisa Morelli | Psychologist | 3117 William Rd, Garnet Valley, PA 19060-2045 | 2020-07-29 |
| 1306460381 | Richard Xavier Glosser | Psychologist | 708 Rosewood Dr, Pittsburgh, PA 15239-1065 | 2020-06-04 |
| 1770105207 | Carissa Marie Bowersox | Psychologist | 71 Bowersox Ln, Liverpool, PA 17045-8421 | 2020-05-06 |
| 1205464393 | Amanda J Buckley | Psychologist | 7307 Walnut Ln, Philadelphia, PA 19138-1331 | 2020-04-01 |
| 1730725060 | Melinda Hodder | Psychologist | 408 Stiefel Ave, Ellwood City, PA 16117-2946 | 2019-11-21 |
| 1922643659 | Romulo Emilio Macias Sr. | Psychologist | 231 Tim St, Stroudsburg, PA 18360-8437 | 2019-11-18 |
| 1871137836 | Mary Wykle | Psychologist | 1015 Fisher St, Chester Springs, PA 19425-3804 | 2019-11-03 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
Please comment or provide details below to improve the information on DR. NANCY JO PATRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.