Organization Active NPI

Dickens Psychological Services LLC

  • Psychologist
  • Cordova, TN
National Provider Identifier
1750808713
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3410 Issued in TN
Legal business name
DICKENS PSYCHOLOGICAL SERVICES LLC
Practice address
150 Timber Creek Dr Ste 6
Cordova, TN 38018-4236
Phone
(901) 751-4430
Fax
(901) 751-4210
NPI assigned
Aug 29, 2017
Organization subpart
No

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

Authorized official

Name
Dr. Rachel Haley Dickens, PHD
Title
Owner
Phone
(901) 751-4430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750808713",
    "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": {
        "organization_name": "DICKENS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "HALEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-751-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "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.