DAVID C DIETRICH (NPI# 1477708543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477708543 |
| Entity Type | Individual |
| Full Name | DAVID C DIETRICH |
| Credential | PHD |
| Practice Address |
3150 Lenox Park Blvd Suite 214 Memphis TN 38115-4299 |
| Practice Telephone | 9012732370 |
| Practice Fax Number | 9012732351 |
| Mailing Telephone | 9012732370 |
| Mailing Fax Number | 9012732341 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2009-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P2010 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871522250 | David R Dietrich | Orthopaedic Surgery | 120 N Richard Jackson Blvd Ste 140, Panama City, FL 32407 | 2006-06-30 |
| 1992969224 | David Robert Dietrich | Psychoanalyst | 625 Purdy St, Birmingham, MI 48009-1738 | 2008-07-16 |
| Street Address |
3150 LENOX PARK BLVD SUITE 214 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-4299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184474 | Vicki Lynne Mccall | Counselor | 3150 Lenox Park Blvd, Ste 214, Memphis, TN 38115-4299 | 2005-06-17 |
| 1699002238 | Sycare, LLC | Nurse Practitioner | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2009-11-03 |
| 1134367535 | Anita D Boykins | Nurse Practitioner | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2009-01-23 |
| 1811141047 | Lindalee F Thomas | Nurse Practitioner | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2008-11-14 |
| 1720245939 | Symed Counseling Services, LLC | Social Worker | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2008-05-16 |
| 1073780250 | Symed Counseling Services, LLC | Psychologist | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2008-05-15 |
| 1619149739 | Symed Nc, LLC | Psychiatry & Neurology | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2008-03-28 |
| 1710008396 | Susan Bross Prince | Social Worker | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2007-04-02 |
| 1154451144 | Symed, LLC | Psychiatry & Neurology | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2007-03-07 |
| 1518096601 | Symed, LLC | Social Worker | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805031 | Jasmine Jones | Psychologist | 516 Tennessee St Ste 225, Memphis, TN 38103-4717 | 2019-08-09 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1265950919 | Memphis Center for Mindful Living, LLC | Psychologist | 4646 Poplar Ave Ste 435, Memphis, TN 38117-4443 | 2017-09-01 |
| 1053869354 | Kimberly Noel Fleming | Psychologist | 512 Alexander St, Memphis, TN 38111-4310 | 2016-09-14 |
| 1003230350 | Kyong Han | Psychologist | 6401 Poplar Ave Ste 420, Memphis, TN 38119-4806 | 2014-02-06 |
| 1578997615 | William Leslie Fulliton | Psychologist | 1407 Union Ave Ste 1407, Memphis, TN 38104 | 2013-08-26 |
| 1073862827 | Joann Paula Raby | Psychologist | 5119 Summer Ave Ste 233, Memphis, TN 38122-4417 | 2012-09-06 |
| 1922236546 | Robert Allen Neimeyer | Psychologist | Department of Psychology 400 Innovation Dr, University of Memphis, Memphis, TN 38152-3230 | 2009-06-23 |
| 1477753564 | Meghan Eileen Mcdevitt-murphy | Psychologist | 202 Psychology Bldg, University of Memphis, Memphis, TN 38152-3230 | 2007-07-18 |
| 1508086976 | Charlotte L Kennedy | Psychologist | 4953 W Old Farm Rd, Memphis, TN 38125-3706 | 2007-04-26 |
| Find all providers in MEMPHIS | ||||
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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.