Dante Demitrius Dixson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301018389 Issued in MI

Practice address

16250 Northland Dr Ste 204
Southfield, MI 48075-5226

Phone

(734) 436-1511

NPI assigned

Jul 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Laboratory, Inc

  • School Psychologist
  • Southfield, MI
  • NPI 1740844182
  NPD Authorized official
• Think to Thrive Psychological Services PLLC

  • Cognitive & Behavioral Psychologist
  • Southfield, MI
  • NPI 1770184251
  NPD Authorized official
• Comprehensive Psychological Service, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Lansing, MI
  • NPI 1689211153
  NPD

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1033527338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 WHISPERWOOD DR APT 417",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053419",
            "telephone_number": "734-436-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755226",
            "telephone_number": "734-436-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXSON",
        "first_name": "DANTE",
        "middle_name": "DEMITRIUS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Transit LLC
• Pamila Diwan, MD
• Dixon Family Dental
• Anthony Dixon-Lobert
• Carol Dixon, MSW/CSW
• DMC Regional Rehabilitation Center Co
• Arianna Dobbs
• Spencer Nathan Dobkin
• Doctors at Home P.LC.
• Doctors Home Care

• Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.