Active NPI
Lisa Beth Dixon, M.D
- Psychiatry Physician
- New York, NY
National Provider Identifier
1346202793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 166644-1
- Practice address
- 710 W 168TH St
Ni-12
New York, NY 10032-3726 - Phone
- (212) 305-9758
- Fax
- (212) 305-9657
- NPI assigned
- Apr 3, 2006
- Last updated
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D38128 | MD | |
| Psychiatry Physician | 2084P0800X | 166644-1 | NY | Primary |
Addresses
Primary practice location
710 W 168TH St
Ni-12
New York, NY 10032-3726
Mailing address
1051 Riverside Dr
Room 2702 Box 100
New York, NY 10032-1007
Phone (212) 543-5041
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D38128 | MD | MD | Psychiatry Physician |
| 166644-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in Department of Psychiatry | Psychiatry | Past | Accepting new patients |
| University of Maryland Psychiatry Associates, PA | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- lbd9001@direct.nyp.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- New York, NY
- NPI 1619911526
-
dba Psychiatry Associates, PA
- Psychiatry Physician
- Baltimore, MD
- NPI 1649292699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1346202793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 RIVERSIDE DR",
"address_2": "ROOM 2702 BOX 100",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321007",
"telephone_number": "212-543-5041",
"fax_number": "212-543-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W 168TH ST",
"address_2": "NI-12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323726",
"telephone_number": "212-305-9758",
"fax_number": "212-305-9657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "LISA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D38128",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "166644-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.