Mandi Allison Dickman, MSCCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012032-1 Issued in NY

Practice address

48 Birches LN
Ellenville, NY 12428-8127

Phone

(845) 647-2557

NPI assigned

Sep 13, 2010

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1336456359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 W SAUGERTIES RD",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124773142",
            "telephone_number": "845-247-8777",
            "fax_number": "845-247-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BIRCHES LN",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124288127",
            "telephone_number": "845-647-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "MANDI",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "MSCCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012032-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R Craft, DC
• Lacy Dalrymple, CASAC
• Damian Family Care Centers, Inc.
• Devon Craft DO PC
• Santiago Diaz
• Anthony Dimesa Jr., RN
• Dinovitser Medical PLLC
• Jay Daniel Dinovitser, D.O.
• Angela Dinozzi, LMSW
• Michelle Dooley, RPH, LMT

• Speech-Language Pathologist in Ellenville, NY
• Providers in Ellenville, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.