DICKINSON PSYCHOLOGICAL SERVICES PA (NPI# 1417115429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417115429 |
| Entity Type | Organization |
| Organization Name | DICKINSON PSYCHOLOGICAL SERVICES PA |
| Practice Address |
318a E Main St Havelock NC 28532-2214 |
| Practice Telephone | 2524477764 |
| Mailing Telephone | 2524477764 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2014-06-13 |
| Authorized Official Name | DR. PATRICIA S DICKINSON (OWNER) |
| Authorized Official Telephone | 2524477764 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 2670 | NC | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2670 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000180 | 05 | |
| NC | BCBS | 045JF | 01 |
| Street Address |
318A E MAIN ST |
| City | HAVELOCK |
| State | NC |
| Zip Code | 28532-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496190 | Patricia S Dickinson | Psychologist | 318a E Main St, Havelock, NC 28532-2214 | 2005-09-02 |
| 1174925457 | Lisa Miller | Counselor | 318a E Main St, Havelock, NC 28532-2214 | 2014-09-18 |
| 1326382078 | David Louis Ellis | Social Worker | 318a E Main St, Havelock, NC 28532-2214 | 2012-11-19 |
| 1932351103 | Pat R. Robbins Consultations | Counselor | 318a E Main St, Havelock, NC 28532-2214 | 2008-10-18 |
| 1295786317 | Denise Loreen Brinkley | Counselor | 318a E Main St, Havelock, NC 28532-2214 | 2006-05-13 |
| 1902866924 | Leif C. Crowe | Psychologist | 318a E Main St, Havelock, NC 28532-2214 | 2006-03-24 |
| 1912987744 | David Jeffrey Ellis | Counselor | 318a E Main St, Havelock, NC 28532-2214 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341396 | Tara-dawm R Tootle | Pharmacist | 1204 E Mail St, Havelock, NC 28532 | 2020-06-23 |
| 1194377903 | Jessy Eugene Warren Whittall | Military Health Care Provider | 4389 Beafort Rd, Havelock, NC 28532 | 2019-07-11 |
| 1508375676 | Lacey Leeann Robinson | Dentist | 610 Miller Boulevard, Havelock, NC 28532 | 2017-09-21 |
| 1053861112 | Adam Toliver Davis | Dentist | 502 Us Hwy 70 West, Havelock, NC 28532 | 2016-10-12 |
| 1467825331 | Stephany Agudelo | Social Worker | 102 Verona Dive, Havelock, NC 28532 | 2015-11-02 |
| 1386089225 | Joanna Tiaira Johnson | Nurse Practitioner | 4389 Beaufort, Havelock, NC 28532 | 2013-05-06 |
| 1962665653 | Coastal Childrens Clinic | Pediatrics | 218 Stone Bridge Square, Havelock, NC 28532 | 2008-07-03 |
| 1235325218 | Michelle Land Amber | Dietitian, Registered | 210 Stonebridge Square, Havelock, NC 28532 | 2007-09-24 |
| 1437217213 | Havelock Chiropractic Center P.a. | Chiropractor | 314 Highway 70 West, Havelock, NC 28532 | 2006-12-05 |
| 1831273127 | David Lee Woodward Jr. | Chiropractor | 314 Hwy. 70 West, Havelock, NC 28532 | 2006-10-24 |
| Find all providers in zip 28532 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407808835 | Isabelle B Ragsdale | Psychologist | 156 Us Highway 70 W, Havelock, NC 28532-9506 | 2006-05-16 |
| 1962496190 | Patricia S Dickinson | Psychologist | 318a E Main St, Havelock, NC 28532-2214 | 2005-09-02 |
| 1225414204 | Trinity Rose Parker | Psychologist | 4389 Beaufort Rd, Havelock, NC 28532 | 2015-08-03 |
| 1902866924 | Leif C. Crowe | Psychologist | 318a E Main St, Havelock, NC 28532-2214 | 2006-03-24 |
| 1871563684 | Christopher Thomas Blair | Psychologist | Naval Hospital Cherry Point, Psychology Department, Havelock, NC 28533 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708062 | Daniel Vanhoy Blalock | Psychologist | 411 W Chapel Hill St Ste 600, Durham, NC 27701-3270 | 2020-10-20 |
| 1770181059 | Blake Daniel Herd | Psychologist | 1501 Highwoods Blvd Ste 101, Greensboro, NC 27410-2051 | 2020-10-09 |
| 1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
| 1265048342 | Joseph Giles Winger | Psychologist | 2200 W Main St Erwin Square Plaza, Durham, NC 27710-0001 | 2020-09-23 |
| 1447877618 | Sarah M Amedoro | Psychologist | 930 Dillingham Rd, Barnardsville, NC 28709-9784 | 2020-07-02 |
| 1518584986 | Amber Nikole Bates | Psychologist | 83 W Moss Creek Dr, Clayton, NC 27520-6908 | 2020-07-01 |
| 1013530831 | Lari Meeker Jackson | Psychologist | 832 Laurel Garden Way, Cary, NC 27513-2046 | 2020-05-27 |
| 1124640537 | Katherine Ramos | Psychologist | 2200 W Main St Ste 300, Durham, NC 27705-4677 | 2020-05-08 |
| 1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
| 1679109300 | Carol D Nudelman | Psychologist | 10 Twinflower Trl, Asheville, NC 28804-0044 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.