Jane Dickinson, NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

289712 Issued in NM

Practice address

PVS -1574
St.Rd. 502
Santa Fe, NM 87501

Phone

(505) 455-0801

Fax

(505) 455-3023

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073735064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 3468",
            "address_2": "POJOAQUE STATION",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875010468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PVS -1574",
            "address_2": "ST.RD. 502",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87501",
            "telephone_number": "505-455-0801",
            "fax_number": "505-455-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "JANE",
        "credential": "NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "289712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09288082",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Diaz, M.ED.
• Victor Diaz, CPSW
• Tod L Dicecco, LPCC
• Mary Josephine Dickerson
• Denise Anne Dickey, L.P.C.
• Katherine Didomenico, LCSW
• Carol Dieckmann, LPCC
• Brian Russell Diedrich, CNP
• Michelle Diggs
• Digital Care Team of NM LLC (247 DCT)

• School Psychologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• School Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.