DR. NANCY JO PATRICK PH.D.
NPI 1174007462
Psychologist - School in Harrisburg, PA
NPI Status: Active since September 21, 2018
Contact Information
6230 OLD JONESTOWN RD STE A
HARRISBURG, PA
ZIP 17112
Phone: (717) 971-2936
- Individual
- Female
- Psychologist
- School
- Opted-Out Medicare
About NANCY PATRICK
This page provides the complete NPI Profile along with additional information for Nancy Patrick, a provider established in Harrisburg, Pennsylvania with a medical specialization in Psychologist, focusing in school . The healthcare provider is registered in the NPI registry with number 1174007462 assigned on September 2018. The practitioner's primary taxonomy code is 103TS0200X with license number PS007781L (PA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1174007462
- Provider Name
- DR. NANCY JO PATRICK PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6230 OLD JONESTOWN RD STE A HARRISBURG, PA 17112
- Location Phone
- (717) 971-2936
- Mailing Address
- 134 STIRRUP LN HARRISBURG, PA 17112
- Mailing Phone
- (717) 497-9846
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-21-2018
- Last Update Date
- 09-21-2018
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Nancy Patrick opted out of Medicare effective on 12-09-2024 until 12-09-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist School
- Taxonomy Code
- 103TS0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PS007781L
- License State
- PA
- Taxonomy Description
- 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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | PS007781L (PA) |
| 2 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | PS007781L (PA) |
| 3 | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | PS007781L (PA) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-09-2024
Opt-Out End Date: 12-09-2026
Eligible to Order and Refer? No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 0 | 0 | 7 | 4 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 0 | 0 | 14 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 0 + 0 + 1 + 4 + 4 + 1 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1174007462 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174007462, enumerated in the NPI registry as an "individual" on September 21, 2018
The provider is located at 6230 Old Jonestown Rd Ste A Harrisburg, Pa 17112 and the phone number is (717) 971-2936
The provider's speciality is Psychologist with taxonomy code 103TS0200X with a focus in School
No, the provider signed an affidavit on December 09, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 09, 2026.
This NPI record was last updated on September 21, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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