Gary L Dickinson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

231 Issued in SD

Practice address

2218 Derdall Dr
Brookings, SD 57006-2851

Phone

(605) 271-7690

Fax

(605) 479-1349

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Hungerford Chiropractic PC

  • Chiropractor
  • Brookings, SD
  • NPI 1356510812
  NPD (past)
• Sanford Medical Center

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1093760233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 E LAKE HENDRICKS DR",
            "city": "HENDRICKS",
            "state": "MN",
            "postal_code": "561361204",
            "telephone_number": "605-271-7690",
            "fax_number": "605-479-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 DERDALL DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062851",
            "telephone_number": "605-271-7690",
            "fax_number": "605-479-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6551103",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUECROSS",
            "identifier": "4993550",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "893248400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Delaney, CNP
• Keely Delaney
• Morgan Derungs, FNP
• Jodi L. Devine, PT
• Amanda Devries, RBT
• Sandra B. Diedrich, LPC, LPC-MH
• Carla Dieter, CNP
• Jeanine Rae Dodson, M.T.
• Dr Paul J Meyer PC
• Dr. Chad D. Kalil, Optometrist P.C.

• Psychologist in Brookings, SD
• Providers in Brookings, SD by specialty
• Psychologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.