MEDICARE: DR. NICHOLAS STEPHEN PATAPIS PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TA0400X	Addiction (Substance Use Disorder) Psychologist	PS015537	PA
2	103TF0200X	Forensic Psychologist	PS015537	PA
3	103TC0700X	Clinical Psychologist	PS015537	PA

General Provider Information

NPI Number	:	1831366186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS STEPHEN PATAPIS PSY.D.

Provider Business Mailing Address
First Line	:	8400 ROOSEVELT BLVD
Second Line	:	SUITE 206
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-2081
Country	:	US
Telephone Number	:	215-333-7562
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 ROOSEVELT BLVD
Second Line	:	SUITE 206
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-2081
Country	:	US
Telephone Number	:	215-333-7562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2008
Last Update Date	:	05/05/2016

Similar Medicare Providers

1225977267 — PHILADELPHIA SURGICAL, LLC
Practice Location Address:

8400 ROOSEVELT BLVD # 100
PHILADELPHIA, PA
19152-2081

Practice Phone: 111-111-1111
Practice Fax:

1619953361 — DR. JEFFREY S. GRAND PSY.D.
Practice Location Address:

8400 ROOSEVELT BLVD STE 206
PHILADELPHIA, PA
19152-2081

Practice Phone: 215-901-8791
Practice Fax: 215-333-7563

1457319550 — DR. KENNETH M LEVY DO
Practice Location Address:

8400 ROOSEVELT BLVD , STE 206
PHILADELPHIA, PA
19152-2081

Practice Phone: 215-333-7560
Practice Fax: 215-333-7563

1376580902 — DR. ARMAND FORMICA DO
Practice Location Address:

8400 ROOSEVELT BLVD , SUITE 220
PHILADELPHIA, PA
19152-2081

Practice Phone: 215-831-1017
Practice Fax: 856-424-6065

1225069156 — DR. JAN A OLENGINSKI D.O.
Practice Location Address:

8400 ROOSEVELT BLVD , SUITE 220
PHILADELPHIA, PA
19152-2081

Practice Phone: 215-331-7001
Practice Fax: 215-331-7004

1033267463 — GENERAL & VASCULAR SURGICAL GROUP, P.C
Practice Location Address:

8400 ROOSEVELT BLVD , SUITE 220
PHILADELPHIA, PA
19152-2081

Practice Phone: 215-331-7001
Practice Fax: 215-331-7004

Directions to “ DR. NICHOLAS STEPHEN PATAPIS PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.