DR. NANCY JO PATRICK PH.D.
NPI 1174007462
Psychologist - School in Harrisburg, PA

Active since September 21, 2018Opted out of Medicare · through Dec 9, 2026
6230 OLD JONESTOWN RD STE A, HARRISBURG, PA 17112(717) 971-2936 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nancy Jo Patrick Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NANCY JO PATRICK PH.D. (NPI 1174007462) is an individual school provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (PS007781L) and active in the NPI registry since September 2018. She has opted out of Medicare through December 9, 2026.

NPPES Registry Identity

NPI1174007462
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameDR. NANCY JO PATRICKCredential: PH.D.
Location Address6230 OLD JONESTOWN RD STE AHarrisburg, PA 17112-6257
Mailing Address134 Stirrup LnHarrisburg, PA 17112-8876 · (717) 497-9846
Sole ProprietorYes
Enumeration DateSeptember 21, 2018
NPI 1174007462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in PA · PS007781L
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Also ListedPsychologistTaxonomy 103T00000X · License PS007781L (PA)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PS007781L (PA)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PS007781L (PA)
6230 OLD JONESTOWN RD STE A, Harrisburg, PA 17112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Nancy Jo Patrick Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 9, 2024 through December 9, 2026.

Opt-Out Effective DateDecember 9, 2024
Opt-Out In Effect ThroughDecember 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Patrick's NPI number?

The NPI number for Nancy Patrick is 1174007462. It was assigned to this individual provider in the NPPES registry on September 21, 2018.

Where is Nancy Patrick located?

Nancy Patrick practices at 6230 Old Jonestown Rd Ste A, Harrisburg, PA 17112. The listed phone number is (717) 971-2936.

What is Nancy Patrick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

Is Nancy Patrick enrolled in Medicare?

No. Nancy Patrick has opted out of Medicare through December 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nancy Patrick was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.