Cecil Clifton Dopson Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13604 Issued in LA

Practice address

610 Herndon St
Shreveport, LA 71101-4704

Phone

(318) 424-3867

Fax

(318) 424-5006

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Clif Dopson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jeanne Street, PHD, Appc

  • Clinical Psychologist
  • Shreveport, LA
  • NPI 1518267889
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1669584876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014704",
            "telephone_number": "318-424-3867",
            "fax_number": "318-424-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014704",
            "telephone_number": "318-424-3867",
            "fax_number": "318-424-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPSON",
        "first_name": "CECIL",
        "middle_name": "CLIFTON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "13604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "X9X050921",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309958",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLIF",
            "last_name": "DOPSON",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Donelson, CPNP
• Suresh Kumar Donepudi, MD
• Caiping Dong, MD
• Deanna S. Donley, MD
• Katrina Dooley
• Aiyasawmy Dave Dorairajan, MD
• Taryn Dorius, PHARMD
• Kay Dorsey
• Melissa Dosher
• Neville Rohinton Dossabhoy, M.D.

• Psychiatry Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.