NPIMap

Organization Active NPI

Dean a. Dickerson, PH.D.

Doing business as Psychological Resource Associates

  • Group Psychotherapy Psychologist
  • Davis, CA
National Provider Identifier
1720081367
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
PSY6149 Issued in CA
Legal business name
DEAN A. DICKERSON, PH.D.
Doing business as
Psychological Resource Associates
Practice address
1627 Oak Ave
Ste a
Davis, CA 95616-1072
Phone
(530) 756-0555
Fax
(530) 756-1368
NPI assigned
May 27, 2005
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Dean Ames Dickerson, PH.D.NPI 1932432994
Title
Psychologist/Owner
Phone
(530) 756-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X PSY6149 CA Primary

Addresses

Primary practice location

1627 Oak Ave
Ste a
Davis, CA 95616-1072

Mailing address

1627 Oak Ave
Ste a
Davis, CA 95616-1072
Phone (530) 756-0555

Other names 1

  • Psychological Resource Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1627 Oak Ave
Ste A
Davis, CA 95616
Phone (530) 756-0555

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1720081367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 OAK AVE",
            "address_2": "STE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161072",
            "telephone_number": "530-756-0555",
            "fax_number": "530-756-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 OAK AVE",
            "address_2": "STE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161072",
            "telephone_number": "530-756-0555",
            "fax_number": "530-756-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN A. DICKERSON, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "AMES",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "530-756-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY6149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Resource Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.