Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joshua Nickerson, DO

Individual provider Psychiatry Physician · NPI 1386091130

Joshua Nickerson, DO is a Psychiatry in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2016, 10 years ago. Practices with Presence Healthcare Services, a 72-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Colorado, Illinois and Pennsylvania.

Years since qualifying
10
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
CO, IL, PA
In the registry since
2016
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4641 E Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone: (800) 889-0548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 8931 Huron St, Thornton, CO 80260-6806 — (303) 853-3500
  • 2900 N Lake Shore Dr, Chicago, IL 60657-5640 — (773) 665-4988
  • 100 N Academy Ave, Danville, PA 17822-9800 — (570) 271-6211
  • 781 Far Hills Dr, New Freedom, PA 17349-8447 — (717) 812-2560

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence OS019814 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence DR.0068432 (CO)
Psychiatry Physician Taxonomy 2084P0800X · Licence 036177295 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (PA)

Record details

NPI number1386091130
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2016
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Presence Healthcare Services — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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