Individual provider Active NPI

Rachel Haley Dickens, PHD

  • Family Psychologist
  • Cordova, TN
National Provider Identifier
1710404017
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
3410 Issued in TN
Practice address
150 Timber Creek Dr Ste 6
Cordova, TN 38018-4236
Phone
(901) 751-4430
Fax
(901) 751-4210
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 3410 TN Primary

Addresses

Primary practice location

150 Timber Creek Dr Ste 6
Cordova, TN 38018-4236

Mailing address

150 Timber Creek Dr Ste 6
Cordova, TN 38018-4236
Phone (901) 751-4430

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3410TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Martha a Gordon, MD, PC CurrentSince Sep 19, 2017 Accepting new patients

Locations

150 Timber Creek Dr
Ste 6
Cordova, TN 38018
Phone (901) 751-4430

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710404017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TIMBER CREEK DR STE 6",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184236",
            "telephone_number": "901-751-4430",
            "fax_number": "901-751-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TIMBER CREEK DR STE 6",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184236",
            "telephone_number": "901-751-4430",
            "fax_number": "901-751-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "RACHEL",
        "middle_name": "HALEY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "TN",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • 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.