Joy Herreid Dawson, PHD LICENSED PSYCHOL

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1138 Issued in MN

Practice address

130 Dakota St S
Woodstock, MN 56186

Phone

(507) 777-4321

NPI assigned

Nov 1, 2006

Last updated

Aug 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Joy Herreid Vineyard Professional name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Dawson and Company LTD

  • Psychologist
  • Luverne, MN
  • NPI 1073362935
  Medicare reassignment NPD Authorized official
• Pipestone Counseling Center, LLC

  • Mental Health Counselor
  • Pipestone, MN
  • NPI 1366013872
  Medicare reassignment NPD
• New Life Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Woodstock, MN
  • NPI 1043219728
  NPD (past)
• New Life Treatment Center

  • Physician Assistant
  • Woodstock, MN
  • NPI 1417492810

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1528145083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELM ST",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561562111",
            "telephone_number": "605-271-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DAKOTA ST S",
            "city": "WOODSTOCK",
            "state": "MN",
            "postal_code": "56186",
            "telephone_number": "507-777-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "JOY",
        "middle_name": "HERREID",
        "name_prefix": "Dr.",
        "credential": "PHD LICENSED PSYCHOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "2046901",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "46251",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552252800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE OF MN",
            "identifier": "114613",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "3K682VI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "VINEYARD",
            "middle_name": "HERREID",
            "prefix": "DR.",
            "credential": "PHD LICENSED PSYCHOL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Allison Rae Kruisselbrink
• Darren Michael Lind, LADC
• Kristy Kay Meyers, LICSW
• New Life Treatment Center
• New Life Treatment Center

• Psychologist in Woodstock, MN
• Providers in Woodstock, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.