Daniel Dimick, Ma, LP, LMFT, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DANIEL DIMICK, MA, LP, LMFT, INC.

Practice address

105 4TH St E Ste 304
Northfield, MN 55057-2047

Phone

(507) 645-6575

Fax

(507) 645-7822

NPI assigned

Sep 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel John Dimick, MA, LP, LMFTNPI 1205058427

Title

Psychologist

Phone

(507) 645-6575

Specialties & licenses 2

Addresses

Other names 1

• Daniel Dimick, MA, LP, LMFT, Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel John Dimick, MA, LP, LMFT

  • Marriage & Family Therapist
  • Northfield, MN
  • NPI 1205058427

  Psychologist

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1013566181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 4TH ST E STE 304",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572047",
            "telephone_number": "507-645-6575",
            "fax_number": "507-645-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 4TH ST E STE 304",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572047",
            "telephone_number": "507-645-6575",
            "fax_number": "507-645-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL DIMICK, MA, LP, LMFT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "DIMICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "507-645-6575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LP, LMFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel Dimick, MA, LP, LMFT, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Ione Craft, LMFT
• Eric Allen Cram, D.C.
• Create Meaning LLC
• Shannon Marie D'Alonzo, M.D.
• Janelle Dahl, CNM
• Christine Ann David, LMFT
• Angela Denardo Meagher
• Tamara Lea Detert, D.O.
• Paula Joy Detjen, LMFT
• Erin Elizabeth Kelly Dew, MA, LPCC

• All providers in Northfield, MN
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.