Individual provider Active NPI

Carole Dozier, PHD

  • Clinical Psychologist
  • Rancho Mirage, CA
National Provider Identifier
1215019658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10586 Issued in CA
Practice address
42-600 Bob Hope Drive
#413
Rancho Mirage, CA 92270-7172
Phone
(760) 325-8649
Fax
(951) 845-5782
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY10586 CA Primary

Addresses

Primary practice location

42-600 Bob Hope Drive
#413
Rancho Mirage, CA 92270-7172

Mailing address

42-600 Bob Hope Drive
#413
Rancho Mirage, CA 92270-7172
Phone (760) 325-8649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY10586CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215019658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-600 BOB HOPE DRIVE",
            "address_2": "#413",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922707172",
            "telephone_number": "760-325-8649",
            "fax_number": "951-845-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42-600 BOB HOPE DRIVE",
            "address_2": "#413",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922707172",
            "telephone_number": "760-325-8649",
            "fax_number": "951-845-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZIER",
        "first_name": "CAROLE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • 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.