David Kenneth Dinklage, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4383 Issued in MA

Practice address

9 Court St Ste 2
Arlington, MA 02476-4817

Phone

(781) 488-3600

Fax

(781) 488-3311

NPI assigned

Jan 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1447306782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COURT ST STE 2",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764817",
            "telephone_number": "781-488-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COURT ST STE 2",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764817",
            "telephone_number": "781-488-3600",
            "fax_number": "781-488-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKLAGE",
        "first_name": "DAVID",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "4383",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "W04388",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Dicello, LICSW
• Alejandra Maria Didio, MSW, LICSW
• Lynn Vinh Diep, PHARMD
• Gretchen Dietrich, M.D.
• Byron Radcliv Diggs, MD
• Divya Natesan PT LLC (Synergy Physiotherapy & Wellness)
• Anne Dixon, CCC-SLP
• Sandra Annette Dixon, PSY.D.
• Nancy E Dizio, LMHC
• Leo Francis Doherty, R.PH

• Clinical Neuropsychologist in Arlington, MA
• Providers in Arlington, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.