Individual provider Active NPI

Dorcas Dickson-Gregory, LPT

  • Licensed Psychiatric Technician
  • Ventura, CA
National Provider Identifier
1407906837
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
PT8055 Issued in CA
Practice address
5810 Ralston St FL 2
Ventura, CA 93003-6010
Phone
(805) 642-7033
Fax
(805) 642-7732
NPI assigned
Jan 10, 2007
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X PT8055 CA Primary

Addresses

Primary practice location

5810 Ralston St FL 2
Ventura, CA 93003-6010

Mailing address

5810 Ralston St FL 2
Ventura, CA 93003-6010
Phone (805) 624-7033

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT8055CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1407906837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 RALSTON ST FL 2",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036010",
            "telephone_number": "805-624-7033",
            "fax_number": "805-642-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 RALSTON ST FL 2",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036010",
            "telephone_number": "805-642-7033",
            "fax_number": "805-642-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON-GREGORY",
        "first_name": "DORCAS",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT8055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.