Individual provider Active NPI

James E Dickson Jr., M.D.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1568475002
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J5563 Issued in TX
Practice address
3030 Nacogdoches Rd Ste 101
San Antonio, TX 78217-4502
Phone
(210) 826-9599
Fax
(210) 826-9828
NPI assigned
Aug 15, 2006
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J5563 TX Primary

Addresses

Primary practice location

3030 Nacogdoches Rd Ste 101
San Antonio, TX 78217-4502

Mailing address

3030 Nacogdoches Rd Ste 101
San Antonio, TX 78217-4502
Phone (210) 826-9599

Other identifiers 2

IdentifierTypeStateIssuer
0095EPOtherTXBLUE CROSS BLUE SHIELD
113684801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090113000445 TX Practitioner - Psychiatry 9032272323 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3030 Nacogdoches
Suite 101
San Antonio, TX 78217-4502

3030 Nacogdoches Rd
Suite 101
San Antonio, TX 78217-4502
Phone (210) 826-9599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5563TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Points PastSince Aug 8, 2003 Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
Turning Points Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1568475002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NACOGDOCHES RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174502",
            "telephone_number": "210-826-9599",
            "fax_number": "210-826-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NACOGDOCHES RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174502",
            "telephone_number": "210-826-9599",
            "fax_number": "210-826-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J5563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0095EP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113684801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.