Dr Joseph John Nicolosi Jr, PHD - Psychologist in Encino, CA

Dr Joseph John Nicolosi Jr, PHD is a Psychologist - Clinical based in Encino, California. Dr Joseph John Nicolosi Jr is licensed to practice in California (license number PSY25555) and his current practice location is 17835 Ventura Blvd, Ste # 207, Encino, California. He can be reached at his office (for appointments etc.) via phone at (818) 609-0147.

NPI number for Dr Joseph John Nicolosi Jr is 1700165602 and his current mailing address is 17835 Ventura Blvd, Ste # 207, Encino, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700165602.

Contact Information

Dr Joseph John Nicolosi Jr, PHD
17835 Ventura Blvd, Ste # 207,
Encino, CA 91316
(818) 609-0147
Not Available



Healthcare Provider's Profile

Full NameDr Joseph John Nicolosi Jr
GenderMale
SpecialityPsychologist - Clinical
Location17835 Ventura Blvd, Encino, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700165602
  • Provider Enumeration Date: 08/09/2011
  • Last Update Date: 02/02/2018

Medical Identifiers

Medical identifiers for Dr Joseph John Nicolosi Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700165602NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY25555 (California)Primary
103TC0700XPsychologist - Clinical PSB36547 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joseph John Nicolosi Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Joseph John Nicolosi Jr, PHD
17835 Ventura Blvd, Ste # 207,
Encino, CA 91316

Ph: (818) 609-0147
Dr Joseph John Nicolosi Jr, PHD
17835 Ventura Blvd, Ste # 207,
Encino, CA 91316

Ph: (818) 609-0147

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› Verified 5 days ago


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