Mary Joyce Dillon, M.A

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS-006104-L Issued in PA

Practice address

435 Chestnut St
Meadville, PA 16335-4404

Phone

(814) 807-0861

NPI assigned

Aug 1, 2014

Last updated

Aug 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Parkside Psychological Associates

  • Mental Health Counselor
  • Meadville, PA
  • NPI 1205081221
  NPD (past)

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1497163596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W STATE ST",
            "address_2": "SUITE 202",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461377",
            "telephone_number": "724-981-2644",
            "fax_number": "724-704-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354404",
            "telephone_number": "814-807-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MARY JOYCE",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-006104-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damian J Derlink, DMD
• Thomas Joseph Detelich Jr., RPH
• Larry Scott Dickson, MA
• Amy Michele Dietz, MS, LPC
• Kelly Joanna Diley, LCSW
• Jessica Charlene Dimarco, PHARMD
• Doctors of Emergency Medicine of Illinois III, LLC
• Humberto Ramon Dorta, M.D.
• Melinda A Douglas, CRNP
• Timothy Marion Downing, MD

• Psychologist in Meadville, PA
• Providers in Meadville, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.