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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSHUA NICKERSON, DO

Active

JOSHUA NICKERSON, DO is a Psychiatry healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1386091130 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · PHILADELPHIA, PA

Registration Details

NPI Number
1386091130
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2016 (10.220887246116 yrs)
Last Updated
Nov 13, 2025
Licenses
DR.0068432 (CO)
OS019814 (PA)
036177295 (IL)

Practice Information

Address
4641 E ROOSEVELT BLVD
PHILADELPHIA, PA, 191242343
Browse PA providers · Browse ZIP 19124
Phone
8008890548
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry

Other Psychiatry Providers in PHILADELPHIA, PA

Name Credential NPI
DR. HERBERT M ADLER MD 1356347389
DR. ABAYOMI O IGE M.D. 1184620130
DR. HARRY A DOYLE M.D. 1831195700
DR. ARLENE PARSONS BENNETT M.D. 1003813981
ILIA NIKHINSON MD 1275534018
JAMES G JONES MD 1265433726
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.