Decia Dixon PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003490 Issued in GA

Legal business name

DECIA DIXON PHD LLC

Practice address

2751 Buford Hwy NE Ste 410
Atlanta, GA 30324-5457

Phone

(404) 507-6656

NPI assigned

Sep 21, 2017

Organization subpart

No

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

Authorized official

Name

Decia N Dixon, PHDNPI 1326347568

Title

Owner

Phone

(678) 649-1940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Parent Child Practice Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Decia Nicole Dixon, PHD

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1326347568
  NPD Authorized official

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609385673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245457",
            "telephone_number": "678-649-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245457",
            "telephone_number": "404-507-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECIA DIXON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DECIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-649-1940",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125580A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Parent Child Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Parent Child Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deburgh Burked
• Michael Decamp, PAA
• Marilyn Gonzalez Decarlo, FNP
• Sarah Oddsen Decaro, M.D.
• Erika A Decatur, MA, BCBA, LBA
• Mariah Deck
• Charissa Deckelmann, CPNP
• Amara Grace Decker, MD
• Annamarie Decker, M.S., CCC-SLP
• Bettyjo Decker, BEHAVIORAL TECH

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.