NPI Details
Joshua Nickerson, DO is a psychiatry psychiatry neurology in Philadelphia, PA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Joshua Nickerson, DO NPI is 1386091130. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4641 E ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19124-343
Phone: (800) 889-0548
The NPI 1386091130 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
- Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth (HCPCS:G0426)
- Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth (HCPCS:G0425)
- Emergency department visit for problem of moderate severity (HCPCS:99283)
The enumeration date for this NPI number is 5/23/2016 and was last updated on 11/13/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2084P0800X | Psychiatry & Neurology | Psychiatry | DR.0068432 | COLORADO | No |
| 2 | 2084P0800X | Psychiatry & Neurology | Psychiatry | OS019814 | PENNSYLVANIA | Yes |
| 3 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 036177295 | ILLINOIS | No |
| 4 | 390200000X | Student in an Organized Health Care Education/Training Program | | | PENNSYLVANIA | No |
