Active NPI
Julia Dixon, ED.S., NCSP
- School Psychologist
- Park Ridge, IL
National Provider Identifier
1437797123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1844277
- Practice address
- 2601 Dempster St
Park Ridge, IL 60068-1155 - Phone
- (847) 825-4484
- NPI assigned
- Dec 13, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1844277 | IL | Primary |
Addresses
Primary practice location
2601 Dempster St
Park Ridge, IL 60068-1155
Mailing address
2601 Dempster St
Park Ridge, IL 60068-1155
Phone (847) 825-4484
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 928461 | Other | IL | ISBE |
| 43230 | Other | NASP | |
| 1844277 | Other | IL | ISBE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1844277 | IL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine East School Based Health Center | Past | Accepting new patients | |
| University of Chicago | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Student Health Clinic/Center
- Park Ridge, IL
- NPI 1073652657
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710028800000",
"number": "1437797123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681155",
"telephone_number": "847-825-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681155",
"telephone_number": "847-825-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "JULIA",
"credential": "ED.S., NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2024-03-10",
"certification_date": "2024-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "1844277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ISBE",
"identifier": "928461",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NASP",
"identifier": "43230",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ISBE",
"identifier": "1844277",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.