Active NPI
Robert Edwin Dingman, ED.D.
- Clinical Child & Adolescent Psychologist
- Newton Centre, MA
National Provider Identifier
1598823130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 7633
- Practice address
- 10 Langley Rd
Newton Centre, MA 02459-1972 - Phone
- (774) 239-6663
- NPI assigned
- Dec 5, 2006
- Last updated
- Mar 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 7633 | MA | Primary |
Addresses
Primary practice location
10 Langley Rd
Newton Centre, MA 02459-1972
Mailing address
36 Symmes St
Roslindale, MA 02131-1642
Phone (774) 239-6663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7633 | MA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1598823130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 SYMMES ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311642",
"telephone_number": "774-239-6663",
"fax_number": "508-849-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LANGLEY RD",
"city": "NEWTON CENTRE",
"state": "MA",
"postal_code": "024591972",
"telephone_number": "774-239-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINGMAN",
"first_name": "ROBERT",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "7633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton Centre, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.