Carrie Marie Dorson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1189 Issued in AL

Practice address

149 Hart St
82 Medical Group SGH
Sheppard Afb, TX 76311-3477

Phone

(940) 676-6075

Fax

(940) 676-6076

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sovak Psychology Inc

  • Psychologist
  • Eden Prairie, MN
  • NPI 1295693521
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679633895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 MOCKINGBIRD LN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082018",
            "telephone_number": "940-642-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HART ST",
            "address_2": "82 MEDICAL GROUP SGH",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763113477",
            "telephone_number": "940-676-6075",
            "fax_number": "940-676-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSON",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmella Louise D'Addezio, D.O.
• Colleen Daugherty
• Alison Del Carmen, MS, RDN
• Luke Joseph Delain, DO
• Kieran Kaur Dhillon, PSY.D.
• Hunter Tristan Justice Ferguson
• Terri Annette Fisher, FPMHNP
• Regino Miguel Flores, MD
• Marland Fox, PA-C
• Verne Shizuo Futagawa, RD

• Clinical Psychologist in Sheppard Afb, TX
• Providers in Sheppard Afb, TX by specialty
• Clinical Psychologist in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.