NPIMap

Organization Active NPI

C. Vincent Dix PHD LLC

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1366632812
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY002151 Issued in FL
Legal business name
C. VINCENT DIX PHD LLC
Practice address
2880 Capital Medical Blvd
Suite 2
Tallahassee, FL 32308-4671
Phone
(850) 878-1142
Fax
(850) 222-1194
NPI assigned
Jul 31, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
C Vincent Dix, PH DNPI 1134108194
Title
Provider
Phone
(850) 878-1142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY002151 FL Primary

Addresses

Primary practice location

2880 Capital Medical Blvd
Suite 2
Tallahassee, FL 32308-4671

Mailing address

2880 Capital Medical Blvd
Suite 2
Tallahassee, FL 32308-4671

Other identifiers 1

IdentifierTypeStateIssuer
75943OtherFLBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1366632812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 CAPITAL MEDICAL BLVD",
            "address_2": "SUITE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084671",
            "fax_number": "850-222-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 CAPITAL MEDICAL BLVD",
            "address_2": "SUITE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084671",
            "telephone_number": "850-878-1142",
            "fax_number": "850-222-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. VINCENT DIX PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "DIX",
        "authorized_official_first_name": "C VINCENT",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "850-878-1142",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY002151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "75943",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.