Kim Dixon, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 21999 Issued in CA

Practice address

1063 Detroit Ave Ste a
Concord, CA 94518-2411

Phone

(925) 685-2941

NPI assigned

Oct 11, 2007

Last updated

Aug 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LDS Family Services

  dba LDS family Services CA Concord

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, CA
  • NPI 1942325972
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1720276033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 DETROIT AVE STE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182411",
            "telephone_number": "925-685-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 DETROIT AVE STE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182411",
            "telephone_number": "925-685-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 21999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Dittus-Blitz, LMFT
• Eva Francesca Diubaldo
• Tambra K Divine
• Sadasha Dixit
• Equilla Dixon
• Taya Dixon
• Madison Dominic Dizon
• Tina Marie Djudjo
• Emily Rose Dmytryk
• DO DDS Corp (Parkside Pediatric Dentists)

• Psychologist in Concord, CA
• Providers in Concord, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.