Cynthia Jean Dillard, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016943 Issued in PA

Practice address

225 S Church St
West Chester, PA 19382-3386

Phone

(484) 401-4829

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Cynthia Jean Nickless Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1366570616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S CHURCH ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823386",
            "telephone_number": "484-401-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CHURCH ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823386",
            "telephone_number": "484-401-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5859",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "NICKLESS",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ainsley Dieperink
• Kate Laura Dietrich-Manion, LCSW
• Shannon Marie Difonzo, RPH
• Robert James Digiacomo, MA
• Shannon Dignan, PA-C
• Marissa Dimarco
• Jennifer Dimedio, CRNP
• Olivia Dimmig, RN
• Laura Dinunzio
• Barbara Diorio, DMD

• Clinical Psychologist in West Chester, PA
• Providers in West Chester, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.