Roxane Dinkin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6474 Issued in FL

Practice address

9215 12TH Ave NW
Bradenton, FL 34209-8303

Phone

(941) 920-7445

NPI assigned

Oct 23, 2006

Last updated

Oct 5, 2022By 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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1568545770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 12TH AVE NW",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342098303",
            "telephone_number": "941-920-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 12TH AVE NW",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342098303",
            "telephone_number": "941-920-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3653 Cortez Rd W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103168",
            "country_code": "US",
            "telephone_number": "941-727-8799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9215 12th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342098303",
            "country_code": "US",
            "telephone_number": "941-920-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINKIN",
        "first_name": "ROXANE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Ellzey Dillon, ARNP, BC, MS
• Joshua Dillon, PA-C
• Marc Scott Dillworth, PH.D.
• Jessica G Dimon, PHARMD
• Michelle Dimonte, DMD
• Imani Tyree Diop
• Wendy D Dipietro, IMH
• Diplomat Medical Transportation, Inc.
• Discount RX LLC
• Discover Care LLC

• Psychologist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.