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DR. JOSEPH JOHN NICOLOSI JR. PH.D.
NPI 1700165602
Psychologist - Clinical in Encino, CA

Active since August 09, 2011Opted out of Medicare · through Dec 4, 2026
17835 VENTURA BLVD, STE # 207, ENCINO, CA 91316(818) 609-0147 Get Directions Write a Review

NPPES record last updated: February 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joseph John Nicolosi Jr. Ph.d. NPPES

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

DR. JOSEPH JOHN NICOLOSI JR. PH.D. (NPI 1700165602) is an individual clinical provider in Encino, California, licensed in California (PSY25555) and active in the NPI registry since August 2011. He has opted out of Medicare through December 4, 2026.

NPPES Registry Identity

NPI1700165602
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOSEPH JOHN NICOLOSI JR.Credential: PH.D.
Location Address17835 VENTURA BLVD, STE # 207Encino, CA 91316
Mailing Address17835 Ventura Blvd, Ste # 207Encino, CA 91316 · (818) 609-0147
Phone(818) 609-0147
Sole ProprietorNo
Enumeration DateAugust 9, 2011
Last NPPES UpdateFebruary 2, 2018
✔ NPI 1700165602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CA · PSY25555✔ Licensed in CA · PSB36547
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
17835 VENTURA BLVD, Encino, CA 91316
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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. Joseph John Nicolosi Jr. 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 4, 2018 through December 4, 2026.

Opt-Out Effective DateDecember 4, 2018
Opt-Out In Effect ThroughDecember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RELIABLE MEDICAL SUPPLY CENTER, INC
Durable Medical Equipment & Medical Supplies
17835 VENTURA BLVD, SUITE 211
ENCINO, CA 91316
Los Angeles County (844) 881-0880
ADVANCED SLEEP MEDICINE SERVICES INC
Durable Medical Equipment & Medical Supplies
17835 VENTURA BLVD, SUITE 300
ENCINO, CA 91316
Los Angeles County (877) 775-3377

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 Joseph Nicolosi's NPI number?

The NPI number for Joseph Nicolosi is 1700165602. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Joseph Nicolosi located?

Joseph Nicolosi practices at 17835 Ventura Blvd Ste # 207, Encino, CA 91316. The listed phone number is (818) 609-0147.

What is Joseph Nicolosi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Joseph Nicolosi enrolled in Medicare?

No. Joseph Nicolosi has opted out of Medicare through December 4, 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 Joseph Nicolosi was last updated on February 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.