Provider Demographics
NPI:1861725566
Name:NYKIEL, PATRYCJA (PSY D)
Entity type:Individual
Prefix:DR
First Name:PATRYCJA
Middle Name:
Last Name:NYKIEL
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3022 N HARLEM AVE STE 1N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-4791
Mailing Address - Country:US
Mailing Address - Phone:708-710-8819
Mailing Address - Fax:773-745-4545
Practice Address - Street 1:3022 N HARLEM AVE STE 1N
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-4791
Practice Address - Country:US
Practice Address - Phone:708-710-8819
Practice Address - Fax:773-745-4545
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-12
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178004623103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling