Katherine Dickinson

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY10053 Issued in FL

Practice address

2139 Maryland Cir
Tallahassee, FL 32303-1001

Phone

(850) 644-9924

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Kate Harrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Florida Children'S Mental Wellness, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Huntsville, AL
  • NPI 1538676671
  NPD Authorized official
• Southeastern Behavioral Health, LLC

  • Psychologist
  • Tallahassee, FL
  • NPI 1689164790
  NPD (past)
• Mosaic Psychological Services, LLC

  • Psychologist
  • Thomasville, GA
  • NPI 1770011058
  NPD (past)
• Spectrum Mental Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntsville, AL
  • NPI 1093321994
  NPD (past)

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1629585765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 FLAMINGO CT",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323440892",
            "telephone_number": "850-841-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 MARYLAND CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323031001",
            "telephone_number": "850-644-9924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Bob Wallace Ave SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013810",
            "country_code": "US",
            "telephone_number": "256-642-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY004169",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "2272",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "HARRISON",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth L Dickens, MD
• Nastisssha Denise Dickey, RMA
• Queen Joelle Dickey
• Shauntae Dickey, LPN
• Holly Dickinson
• Jonathan Didona Black
• Emily Anne Diehm, M.S. CCC-SLP
• Elizabeth Diekman, PA
• Dignity Companion and Home Care Services
• Ukamaka Amy Dike, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.