Individual provider Active NPI

Vincence F Dillon Sr., MD

  • Addiction Psychiatry Physician
  • Pensacola, FL
National Provider Identifier
1437195534
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
ME54131 Issued in FL
Practice address
1120 N Palafox St
Pensacola, FL 32502-2608
Phone
(850) 434-5033
Fax
(850) 433-0268
NPI assigned
Jun 20, 2006
Last updated
Apr 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X ME54131 FL Primary
Addiction Psychiatry Physician 2084P0802X 00024147 AL
Addiction Psychiatry Physician 2084P0802X MD07713R LA

Addresses

Primary practice location

1120 N Palafox St
Pensacola, FL 32502-2608

Mailing address

1120 N Palafox St
Pensacola, FL 32501-2608
Phone (850) 434-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000640 FL Practitioner - Psychiatry 1456337807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Associates, P.aGroup PAC ID 1052388014, 10 clinicians

Practice addresses (Care Compare)

1120 N Palafox St
Pensacola, FL 32501-2608
Phone (850) 434-5033

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00024147ALMDAddiction Psychiatry Physician
MD07713RLAMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates, P.a. CurrentSince Jul 5, 2004 Accepting new patients

Locations

1120 N Palafox St
Pensacola, FL 32501
Phone (850) 434-5033

600 E Government St
Pensacola, FL 32502
Phone (850) 434-5033

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1437195534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012608",
            "telephone_number": "850-434-5033",
            "fax_number": "850-433-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325022608",
            "telephone_number": "850-434-5033",
            "fax_number": "850-433-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "VINCENCE",
        "middle_name": "F",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME54131",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "AL",
            "license": "00024147",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "LA",
            "license": "MD07713R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.