Active NPI
Carrie B. Dixon, PH.D.
- Clinical Psychologist
- Anderson, IN
National Provider Identifier
1336449693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040075A
- Practice address
- 100 W 11TH St
Suite 100
Anderson, IN 46016-2069 - Phone
- (765) 643-0181
- Fax
- (765) 643-0181
- NPI assigned
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20040075A | IN | Primary |
Addresses
Primary practice location
100 W 11TH St
Suite 100
Anderson, IN 46016-2069
Mailing address
100 W 11TH St
200
Anderson, IN 46016-2069
Phone (317) 643-0181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100323740A | Medicaid | IN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20040075A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green House and Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- McCordsville, IN
- NPI 1558316463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1336449693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 11TH ST",
"address_2": "200",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460162069",
"telephone_number": "317-643-0181",
"fax_number": "317-643-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 11TH ST",
"address_2": "SUITE 100",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460162069",
"telephone_number": "765-643-0181",
"fax_number": "765-643-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "CARRIE",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20040075A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100323740A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.