Active NPI
Dean R. Dickson, MS
- Psychologist
- Newtown, PA
National Provider Identifier
1619020534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-005765-L
- Practice address
- 22 S State St
Newtown, PA 18940-3507 - Phone
- (215) 860-3450
- Fax
- (215) 860-3356
- NPI assigned
- Jan 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-005765-L | PA | Primary |
| Psychologist | 103T00000X | 047-0000681 | VT |
Addresses
Primary practice location
22 S State St
Newtown, PA 18940-3507
Mailing address
18 Orchard Way
Yardley, PA 19067-3051
Phone (215) 493-6709
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-005765-L | PA | MD | Psychologist |
| 047-0000681 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619020534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 ORCHARD WAY",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190673051",
"telephone_number": "215-493-6709",
"fax_number": "215-860-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S STATE ST",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189403507",
"telephone_number": "215-860-3450",
"fax_number": "215-860-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "DEAN",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-005765-L",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "047-0000681",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.